[
  {
    "rxnorm_id": "96304",
    "drug_name": "Primidone 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "103401",
    "drug_name": "Hydrocortisone 0.025 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "103456",
    "drug_name": "Fluocinonide 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "103457",
    "drug_name": "Fluocinonide 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "103467",
    "drug_name": "Halcinonide 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "103956",
    "drug_name": "Alprostadil 0.02 MG Injection [Caverject]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "103968",
    "drug_name": "lamotrigine 100 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "104232",
    "drug_name": "Spironolactone 5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "104884",
    "drug_name": "Metoclopramide 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "104894",
    "drug_name": "Ondansetron 4 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105071",
    "drug_name": "Nicotine 4 MG Chewing Gum [Nicorette]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105171",
    "drug_name": "Cefadroxil 100 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105292",
    "drug_name": "isoniazid 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105450",
    "drug_name": "Metyrapone 250 MG Oral Capsule [Metopirone]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105551",
    "drug_name": "Busulfan 2 MG Oral Tablet [Myleran]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105553",
    "drug_name": "Chlorambucil 2 MG Oral Tablet [Leukeran]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105583",
    "drug_name": "Fluorouracil 50 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105585",
    "drug_name": "Methotrexate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "105590",
    "drug_name": "Thioguanine 40 MG Oral Tablet [Tabloid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106302",
    "drug_name": "Tretinoin 0.25 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106303",
    "drug_name": "Tretinoin 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106336",
    "drug_name": "Ketoconazole 20 MG/ML Medicated Shampoo",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106346",
    "drug_name": "Mupirocin 0.02 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106351",
    "drug_name": "Silver Sulfadiazine 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106366",
    "drug_name": "Sulconazole nitrate 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106387",
    "drug_name": "Permethrin 50 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "106892",
    "drug_name": "insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Humulin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "108513",
    "drug_name": "Tacrolimus 1 MG Oral Capsule [Prograf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "108514",
    "drug_name": "Tacrolimus 5 MG Oral Capsule [Prograf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "141850",
    "drug_name": "Desoximetasone 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "141859",
    "drug_name": "Acyclovir 50 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "141963",
    "drug_name": "Azithromycin 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "141988",
    "drug_name": "Sodium Fluoride 1.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "142046",
    "drug_name": "Metronidazole 0.0075 MG/MG Vaginal Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "142113",
    "drug_name": "Mesna 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "151029",
    "drug_name": "mometasone furoate 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "151030",
    "drug_name": "mometasone furoate 1 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "151226",
    "drug_name": "topiramate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "152695",
    "drug_name": "meloxicam 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "153098",
    "drug_name": "deflazacort 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "153822",
    "drug_name": "candesartan cilexetil 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "153823",
    "drug_name": "candesartan cilexetil 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "153842",
    "drug_name": "glimepiride 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "153880",
    "drug_name": "deflazacort 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197303",
    "drug_name": "Acetazolamide 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197304",
    "drug_name": "Acetazolamide 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197305",
    "drug_name": "Acetic Acid 20 MG/ML Otic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197310",
    "drug_name": "Acyclovir 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197311",
    "drug_name": "Acyclovir 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197312",
    "drug_name": "Acyclovir 0.05 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197313",
    "drug_name": "Acyclovir 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197316",
    "drug_name": "Albuterol 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197318",
    "drug_name": "Albuterol 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197319",
    "drug_name": "Allopurinol 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197320",
    "drug_name": "Allopurinol 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197321",
    "drug_name": "Alprazolam 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197322",
    "drug_name": "Alprazolam 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197327",
    "drug_name": "amcinonide 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197328",
    "drug_name": "amcinonide 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197351",
    "drug_name": "6-Aminocaproic Acid 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197361",
    "drug_name": "Amlodipine 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197363",
    "drug_name": "Amoxapine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197364",
    "drug_name": "Amoxapine 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197365",
    "drug_name": "Amoxapine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197366",
    "drug_name": "Amoxapine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197379",
    "drug_name": "Atenolol 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197380",
    "drug_name": "Atenolol 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197381",
    "drug_name": "Atenolol 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197382",
    "drug_name": "Atenolol 100 MG / Chlorthalidone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197383",
    "drug_name": "Atenolol 50 MG / Chlorthalidone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197386",
    "drug_name": "Auranofin 3 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197388",
    "drug_name": "Azathioprine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197391",
    "drug_name": "Baclofen 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197392",
    "drug_name": "Baclofen 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197397",
    "drug_name": "benzonatate 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197405",
    "drug_name": "Betamethasone 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197407",
    "drug_name": "Betamethasone 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197408",
    "drug_name": "Betamethasone 1 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197409",
    "drug_name": "Betamethasone 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197411",
    "drug_name": "Bromocriptine 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197412",
    "drug_name": "Bromocriptine 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197417",
    "drug_name": "Bumetanide 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197418",
    "drug_name": "Bumetanide 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197419",
    "drug_name": "Bumetanide 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197426",
    "drug_name": "Acetaminophen 325 MG / butalbital 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197436",
    "drug_name": "Captopril 25 MG / Hydrochlorothiazide 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197437",
    "drug_name": "Captopril 25 MG / Hydrochlorothiazide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197438",
    "drug_name": "Captopril 50 MG / Hydrochlorothiazide 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197439",
    "drug_name": "Captopril 50 MG / Hydrochlorothiazide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197443",
    "drug_name": "Carbidopa 10 MG / Levodopa 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197444",
    "drug_name": "Carbidopa 25 MG / Levodopa 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197445",
    "drug_name": "Carbidopa 25 MG / Levodopa 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197446",
    "drug_name": "Carisoprodol 350 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197448",
    "drug_name": "Levocarnitine 330 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197449",
    "drug_name": "Cefaclor 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197452",
    "drug_name": "cefprozil 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197453",
    "drug_name": "cefprozil 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197454",
    "drug_name": "Cephalexin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197464",
    "drug_name": "Clorazepate Dipotassium 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197465",
    "drug_name": "Clorazepate Dipotassium 3.75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197466",
    "drug_name": "Clorazepate Dipotassium 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197499",
    "drug_name": "Chlorthalidone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197500",
    "drug_name": "Chlorthalidone 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197502",
    "drug_name": "Chlorzoxazone 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197506",
    "drug_name": "Cimetidine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197507",
    "drug_name": "Cimetidine 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197508",
    "drug_name": "Cimetidine 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197511",
    "drug_name": "Ciprofloxacin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197512",
    "drug_name": "Ciprofloxacin 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197516",
    "drug_name": "Clarithromycin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197517",
    "drug_name": "Clarithromycin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197518",
    "drug_name": "Clindamycin 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197519",
    "drug_name": "Clindamycin 10 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197520",
    "drug_name": "clocortolone 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197527",
    "drug_name": "Clonazepam 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197528",
    "drug_name": "Clonazepam 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197529",
    "drug_name": "Clonazepam 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197535",
    "drug_name": "Clozapine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197536",
    "drug_name": "Clozapine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197541",
    "drug_name": "Colchicine 0.6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197550",
    "drug_name": "Cyclophosphamide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197551",
    "drug_name": "Cycloserine 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197553",
    "drug_name": "Cyclosporine 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197554",
    "drug_name": "Danazol 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197555",
    "drug_name": "Danazol 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197556",
    "drug_name": "Danazol 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197557",
    "drug_name": "Dapsone 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197558",
    "drug_name": "Dapsone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197572",
    "drug_name": "Desonide 0.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197573",
    "drug_name": "Desoximetasone 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197574",
    "drug_name": "Desoximetasone 2.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197575",
    "drug_name": "Desoximetasone 0.0025 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197577",
    "drug_name": "Dexamethasone 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197579",
    "drug_name": "Dexamethasone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197580",
    "drug_name": "Dexamethasone 1.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197581",
    "drug_name": "Dexamethasone 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197582",
    "drug_name": "Dexamethasone 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197583",
    "drug_name": "Dexamethasone 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197589",
    "drug_name": "Diazepam 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197590",
    "drug_name": "Diazepam 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197591",
    "drug_name": "Diazepam 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197593",
    "drug_name": "Diazoxide 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197594",
    "drug_name": "Dichlorphenamide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197595",
    "drug_name": "Dicloxacillin 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197596",
    "drug_name": "Dicloxacillin 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197603",
    "drug_name": "Diflunisal 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197604",
    "drug_name": "Digoxin 0.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197606",
    "drug_name": "Digoxin 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197622",
    "drug_name": "Dipyridamole 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197623",
    "drug_name": "Disulfiram 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197624",
    "drug_name": "Disulfiram 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197625",
    "drug_name": "Doxazosin 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197626",
    "drug_name": "Doxazosin 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197627",
    "drug_name": "Doxazosin 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197628",
    "drug_name": "Doxazosin 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197634",
    "drug_name": "dronabinol 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197635",
    "drug_name": "dronabinol 2.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197636",
    "drug_name": "dronabinol 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197650",
    "drug_name": "Erythromycin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197653",
    "drug_name": "Estazolam 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197654",
    "drug_name": "Estazolam 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197657",
    "drug_name": "Estradiol 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197658",
    "drug_name": "Estradiol 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197659",
    "drug_name": "Estradiol 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197660",
    "drug_name": "Estrogens, Conjugated (USP) 0.3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197661",
    "drug_name": "Estrogens, Conjugated (USP) 0.9 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197662",
    "drug_name": "Estrogens, Conjugated (USP) 1.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197682",
    "drug_name": "Ethosuximide 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197684",
    "drug_name": "Etodolac 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197685",
    "drug_name": "Etodolac 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197686",
    "drug_name": "Etodolac 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197687",
    "drug_name": "Etoposide 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197696",
    "drug_name": "72 HR Fentanyl 0.075 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197698",
    "drug_name": "Fluconazole 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197699",
    "drug_name": "Fluconazole 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197700",
    "drug_name": "Fluconazole 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197701",
    "drug_name": "Fluconazole 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197702",
    "drug_name": "Flucytosine 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197703",
    "drug_name": "Flucytosine 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197719",
    "drug_name": "Flurandrenolide 0.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197724",
    "drug_name": "Flurbiprofen 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197725",
    "drug_name": "Flurbiprofen 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197730",
    "drug_name": "Furosemide 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197731",
    "drug_name": "Furosemide 8 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197732",
    "drug_name": "Furosemide 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197735",
    "drug_name": "Gentamicin 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197737",
    "drug_name": "Glyburide 1.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197738",
    "drug_name": "Glycopyrrolate 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197739",
    "drug_name": "Glycopyrrolate 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197745",
    "drug_name": "Guanfacine 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197746",
    "drug_name": "Guanfacine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197754",
    "drug_name": "Haloperidol 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197770",
    "drug_name": "Hydrochlorothiazide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197782",
    "drug_name": "Hydrocortisone 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197783",
    "drug_name": "Hydrocortisone 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197784",
    "drug_name": "Hydrocortisone 20 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197785",
    "drug_name": "Hydrocortisone 25 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197786",
    "drug_name": "Hydrocortisone 25 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197787",
    "drug_name": "Hydrocortisone 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197797",
    "drug_name": "hydroxyurea 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197805",
    "drug_name": "Ibuprofen 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197806",
    "drug_name": "Ibuprofen 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197807",
    "drug_name": "Ibuprofen 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197815",
    "drug_name": "Indapamide 1.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197816",
    "drug_name": "Indapamide 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197817",
    "drug_name": "Indomethacin 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197818",
    "drug_name": "Indomethacin 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197819",
    "drug_name": "Indomethacin 50 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197832",
    "drug_name": "isoniazid 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197839",
    "drug_name": "Isosorbide Dinitrate 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197840",
    "drug_name": "Isosorbide Dinitrate 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197843",
    "drug_name": "Isotretinoin 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197844",
    "drug_name": "Isotretinoin 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197845",
    "drug_name": "Isotretinoin 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197848",
    "drug_name": "Isradipine 2.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197849",
    "drug_name": "Isradipine 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197853",
    "drug_name": "Ketoconazole 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197854",
    "drug_name": "Ketoprofen 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197855",
    "drug_name": "Ketoprofen 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197856",
    "drug_name": "Ketoprofen 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197860",
    "drug_name": "Leucovorin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197861",
    "drug_name": "Leucovorin 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197862",
    "drug_name": "Leucovorin 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197863",
    "drug_name": "Leucovorin 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197873",
    "drug_name": "levorphanol tartrate 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197877",
    "drug_name": "Lidocaine 25 MG/ML / Prilocaine 25 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197884",
    "drug_name": "Lisinopril 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197885",
    "drug_name": "Hydrochlorothiazide 12.5 MG / Lisinopril 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197886",
    "drug_name": "Hydrochlorothiazide 12.5 MG / Lisinopril 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197887",
    "drug_name": "Hydrochlorothiazide 25 MG / Lisinopril 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197889",
    "drug_name": "Lithium Carbonate 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197890",
    "drug_name": "Lithium Carbonate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197891",
    "drug_name": "Lithium Carbonate 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197892",
    "drug_name": "Lithium Carbonate 450 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197893",
    "drug_name": "Lithium Carbonate 600 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197894",
    "drug_name": "Lomustine 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197895",
    "drug_name": "Lomustine 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197896",
    "drug_name": "Lomustine 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197900",
    "drug_name": "Lorazepam 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197901",
    "drug_name": "Lorazepam 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197902",
    "drug_name": "Lorazepam 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197903",
    "drug_name": "Lovastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197904",
    "drug_name": "Lovastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197905",
    "drug_name": "Lovastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197928",
    "drug_name": "Meprobamate 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197929",
    "drug_name": "Meprobamate 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197931",
    "drug_name": "mercaptopurine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197935",
    "drug_name": "metaxalone 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197939",
    "drug_name": "Methazolamide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197940",
    "drug_name": "Methazolamide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197941",
    "drug_name": "Methimazole 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197942",
    "drug_name": "Methimazole 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197943",
    "drug_name": "Methocarbamol 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197944",
    "drug_name": "Methocarbamol 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197947",
    "drug_name": "Methoxsalen 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197949",
    "drug_name": "methsuximide 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197956",
    "drug_name": "Methyldopa 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197958",
    "drug_name": "Methyldopa 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197971",
    "drug_name": "Methylprednisolone 32 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197973",
    "drug_name": "Methylprednisolone 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197975",
    "drug_name": "Methyltestosterone 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197978",
    "drug_name": "Metolazone 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197979",
    "drug_name": "Metolazone 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197980",
    "drug_name": "Metyrosine 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197984",
    "drug_name": "Minocycline 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197985",
    "drug_name": "Minocycline 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197986",
    "drug_name": "Minoxidil 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "197987",
    "drug_name": "Minoxidil 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198006",
    "drug_name": "Nadolol 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198007",
    "drug_name": "Nadolol 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198008",
    "drug_name": "Nadolol 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198012",
    "drug_name": "Naproxen 375 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198013",
    "drug_name": "Naproxen 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198014",
    "drug_name": "Naproxen 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198024",
    "drug_name": "Niacin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198029",
    "drug_name": "24 HR Nicotine 0.583 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198030",
    "drug_name": "24 HR Nicotine 0.875 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198031",
    "drug_name": "24 HR Nicotine 0.292 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198032",
    "drug_name": "Nifedipine 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198033",
    "drug_name": "Nifedipine 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198034",
    "drug_name": "24 HR Nifedipine 30 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198035",
    "drug_name": "24 HR Nifedipine 60 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198036",
    "drug_name": "24 HR Nifedipine 90 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198037",
    "drug_name": "Nimodipine 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198038",
    "drug_name": "Nitroglycerin 0.3 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198039",
    "drug_name": "Nitroglycerin 0.4 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198040",
    "drug_name": "Nitroglycerin 0.6 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198041",
    "drug_name": "Nizatidine 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198042",
    "drug_name": "Norethindrone 0.35 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198045",
    "drug_name": "Nortriptyline 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198046",
    "drug_name": "Nortriptyline 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198047",
    "drug_name": "Nortriptyline 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198049",
    "drug_name": "Ofloxacin 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198050",
    "drug_name": "Ofloxacin 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198051",
    "drug_name": "Omeprazole 20 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198052",
    "drug_name": "Ondansetron 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198057",
    "drug_name": "Oxazepam 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198059",
    "drug_name": "Oxazepam 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198070",
    "drug_name": "Penicillamine 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198071",
    "drug_name": "Penicillamine 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198075",
    "drug_name": "Perphenazine 16 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198076",
    "drug_name": "Perphenazine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198077",
    "drug_name": "Perphenazine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198078",
    "drug_name": "Perphenazine 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198083",
    "drug_name": "Phenobarbital 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198086",
    "drug_name": "Phenobarbital 16.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198089",
    "drug_name": "Phenobarbital 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198102",
    "drug_name": "vitamin K1 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198103",
    "drug_name": "Pimozide 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198104",
    "drug_name": "Pindolol 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198105",
    "drug_name": "Pindolol 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198107",
    "drug_name": "Piroxicam 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198108",
    "drug_name": "Piroxicam 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198116",
    "drug_name": "Potassium Chloride 20 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198140",
    "drug_name": "Praziquantel 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198141",
    "drug_name": "Prazosin 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198142",
    "drug_name": "prednisolone 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198144",
    "drug_name": "Prednisone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198145",
    "drug_name": "Prednisone 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198146",
    "drug_name": "Prednisone 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198148",
    "drug_name": "Prednisone 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198150",
    "drug_name": "Primidone 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198152",
    "drug_name": "Probenecid 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198153",
    "drug_name": "Colchicine 0.5 MG / Probenecid 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198159",
    "drug_name": "Prochlorperazine 25 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198175",
    "drug_name": "Propylthiouracil 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198181",
    "drug_name": "Pyrazinamide 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198182",
    "drug_name": "Pyrimethamine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198183",
    "drug_name": "quazepam 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198188",
    "drug_name": "Ramipril 2.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198189",
    "drug_name": "Ramipril 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198200",
    "drug_name": "Rifabutin 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198201",
    "drug_name": "Rifampin 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198202",
    "drug_name": "Rifampin 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198211",
    "drug_name": "Simvastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198215",
    "drug_name": "Sodium Fluoride 0.55 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198222",
    "drug_name": "Spironolactone 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198223",
    "drug_name": "Spironolactone 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198224",
    "drug_name": "Hydrochlorothiazide 25 MG / Spironolactone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198228",
    "drug_name": "Sulfadiazine 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198232",
    "drug_name": "Sulfasalazine 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198238",
    "drug_name": "Sulindac 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198239",
    "drug_name": "Sulindac 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198240",
    "drug_name": "Tamoxifen 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198241",
    "drug_name": "Temazepam 15 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198242",
    "drug_name": "Temazepam 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198243",
    "drug_name": "Temazepam 7.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198245",
    "drug_name": "terconazole 80 MG Vaginal Insert",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198250",
    "drug_name": "tetracycline hydrochloride 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198252",
    "drug_name": "tetracycline hydrochloride 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198270",
    "drug_name": "Thioridazine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198274",
    "drug_name": "Thioridazine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198275",
    "drug_name": "Thioridazine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198284",
    "drug_name": "Timolol 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198285",
    "drug_name": "Timolol 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198286",
    "drug_name": "Timolol 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198287",
    "drug_name": "tiopronin 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198295",
    "drug_name": "Tolmetin 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198296",
    "drug_name": "Tolmetin 400 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198297",
    "drug_name": "Tolmetin 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198300",
    "drug_name": "Tretinoin 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198312",
    "drug_name": "Triamterene 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198313",
    "drug_name": "Triamterene 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198316",
    "drug_name": "Hydrochlorothiazide 25 MG / Triamterene 37.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198317",
    "drug_name": "Triazolam 0.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198318",
    "drug_name": "Triazolam 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198322",
    "drug_name": "Trifluoperazine 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198323",
    "drug_name": "Trifluoperazine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198324",
    "drug_name": "Trifluoperazine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198325",
    "drug_name": "Trifluoperazine 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198332",
    "drug_name": "Trimethoprim 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198334",
    "drug_name": "Sulfamethoxazole 400 MG / Trimethoprim 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198335",
    "drug_name": "Sulfamethoxazole 800 MG / Trimethoprim 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198352",
    "drug_name": "Zidovudine 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198358",
    "drug_name": "felbamate 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198359",
    "drug_name": "felbamate 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198365",
    "drug_name": "Prochlorperazine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198369",
    "drug_name": "torsemide 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198370",
    "drug_name": "torsemide 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198371",
    "drug_name": "torsemide 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198372",
    "drug_name": "torsemide 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198373",
    "drug_name": "calcipotriene 0.00005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198377",
    "drug_name": "Tacrolimus 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198378",
    "drug_name": "Tacrolimus 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198382",
    "drug_name": "famciclovir 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198427",
    "drug_name": "lamotrigine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198428",
    "drug_name": "lamotrigine 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198429",
    "drug_name": "lamotrigine 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198430",
    "drug_name": "lamotrigine 25 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198640",
    "drug_name": "Folic Acid 0.4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "198641",
    "drug_name": "Folic Acid 0.8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199055",
    "drug_name": "Metronidazole 375 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199058",
    "drug_name": "mycophenolate mofetil 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199119",
    "drug_name": "Omeprazole 10 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199123",
    "drug_name": "bicalutamide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199147",
    "drug_name": "Lamivudine 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199148",
    "drug_name": "Lamivudine 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199149",
    "drug_name": "Acarbose 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199150",
    "drug_name": "Acarbose 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199159",
    "drug_name": "Tretinoin 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199164",
    "drug_name": "Phenobarbital 97.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199167",
    "drug_name": "Phenobarbital 32.4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199168",
    "drug_name": "Phenobarbital 64.8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199192",
    "drug_name": "famciclovir 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199193",
    "drug_name": "famciclovir 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199206",
    "drug_name": "Riluzole 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199224",
    "drug_name": "anastrozole 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199245",
    "drug_name": "glimepiride 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199246",
    "drug_name": "glimepiride 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199247",
    "drug_name": "glimepiride 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199351",
    "drug_name": "trandolapril 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199352",
    "drug_name": "trandolapril 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199353",
    "drug_name": "trandolapril 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199369",
    "drug_name": "Sodium phenylbutyrate 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199376",
    "drug_name": "potassium citrate 5 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199378",
    "drug_name": "12 HR Carbamazepine 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199381",
    "drug_name": "potassium citrate 10 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199387",
    "drug_name": "Risperidone 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199390",
    "drug_name": "Etodolac 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199422",
    "drug_name": "Nevirapine 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199450",
    "drug_name": "clobazam 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199519",
    "drug_name": "Tinidazole 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199521",
    "drug_name": "Vigabatrin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199592",
    "drug_name": "Tetrabenazine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199655",
    "drug_name": "zafirlukast 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199663",
    "drug_name": "Zidovudine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199672",
    "drug_name": "Albendazole 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199689",
    "drug_name": "Acitretin 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199690",
    "drug_name": "Acitretin 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199703",
    "drug_name": "cabergoline 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199884",
    "drug_name": "Levofloxacin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199885",
    "drug_name": "Levofloxacin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199888",
    "drug_name": "topiramate 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199889",
    "drug_name": "topiramate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199890",
    "drug_name": "topiramate 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199903",
    "drug_name": "Hydrochlorothiazide 12.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "199998",
    "drug_name": "Ivermectin 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200031",
    "drug_name": "carvedilol 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200032",
    "drug_name": "carvedilol 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200033",
    "drug_name": "carvedilol 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200034",
    "drug_name": "olanzapine 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200060",
    "drug_name": "mycophenolate mofetil 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200064",
    "drug_name": "letrozole 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200082",
    "drug_name": "Lamivudine 150 MG / Zidovudine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200094",
    "drug_name": "irbesartan 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200095",
    "drug_name": "irbesartan 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200096",
    "drug_name": "irbesartan 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200131",
    "drug_name": "12 HR Carbamazepine 300 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200132",
    "drug_name": "Acarbose 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200133",
    "drug_name": "12 HR Carbamazepine 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200193",
    "drug_name": "zolmitriptan 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200194",
    "drug_name": "zolmitriptan 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200220",
    "drug_name": "tolcapone 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200224",
    "drug_name": "montelukast 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200256",
    "drug_name": "repaglinide 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200257",
    "drug_name": "repaglinide 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200258",
    "drug_name": "repaglinide 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200284",
    "drug_name": "Hydrochlorothiazide 12.5 MG / valsartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200285",
    "drug_name": "Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200311",
    "drug_name": "Fenofibrate 67 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200327",
    "drug_name": "capecitabine 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200328",
    "drug_name": "capecitabine 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200329",
    "drug_name": "Omeprazole 40 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200345",
    "drug_name": "Simvastatin 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200346",
    "drug_name": "cefdinir 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "200371",
    "drug_name": "Citalopram 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "201185",
    "drug_name": "Mafenide 85 MG/ML Topical Cream [Sulfamylon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "201708",
    "drug_name": "Isocarboxazid 10 MG Oral Tablet [Marplan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "203088",
    "drug_name": "Ketoconazole 20 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "204119",
    "drug_name": "Malathion 5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "204135",
    "drug_name": "Desonide 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "204423",
    "drug_name": "Hydrocortisone 10 MG/ML / Neomycin 3.5 MG/ML / Polymyxin B 10000 UNT/ML Otic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "204844",
    "drug_name": "Azithromycin 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205284",
    "drug_name": "leflunomide 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205285",
    "drug_name": "leflunomide 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205304",
    "drug_name": "telmisartan 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205305",
    "drug_name": "telmisartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205315",
    "drug_name": "topiramate 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205316",
    "drug_name": "topiramate 15 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205322",
    "drug_name": "celecoxib 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205323",
    "drug_name": "celecoxib 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205324",
    "drug_name": "modafinil 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205326",
    "drug_name": "Lisinopril 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205328",
    "drug_name": "Lamivudine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205329",
    "drug_name": "miglitol 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205330",
    "drug_name": "miglitol 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205331",
    "drug_name": "miglitol 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205532",
    "drug_name": "Dornase Alfa 1 MG/ML Inhalation Solution [Pulmozyme]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205669",
    "drug_name": "Dexamethasone 1 MG/ML Ophthalmic Suspension [Maxidex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "205739",
    "drug_name": "Echothiophate Iodide 1.25 MG/ML Ophthalmic Solution [Phospholine Iodide]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206193",
    "drug_name": "aluminum chloride 62.5 MG/ML Topical Solution [Xerac AC]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206208",
    "drug_name": "aluminum chloride 200 MG/ML Topical Solution [Drysol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206336",
    "drug_name": "Hydrocortisone 25 MG/ML Topical Solution [Texacort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206786",
    "drug_name": "Lithium Carbonate 300 MG Extended Release Oral Tablet [Lithobid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206791",
    "drug_name": "mesalamine 250 MG Extended Release Oral Capsule [Pentasa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206842",
    "drug_name": "Isosorbide Dinitrate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206880",
    "drug_name": "Isotretinoin 10 MG Oral Capsule [Accutane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206883",
    "drug_name": "Isotretinoin 20 MG Oral Capsule [Accutane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206902",
    "drug_name": "Isotretinoin 40 MG Oral Capsule [Accutane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206905",
    "drug_name": "Ibuprofen 400 MG Oral Tablet [Ibu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206913",
    "drug_name": "Ibuprofen 600 MG Oral Tablet [Ibu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206917",
    "drug_name": "Ibuprofen 800 MG Oral Tablet [Ibu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "206992",
    "drug_name": "Ketoprofen 75 MG Oral Capsule [Orudis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207059",
    "drug_name": "interferon beta-1b 0.3 MG Injection [Betaseron]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207100",
    "drug_name": "Natamycin 50 MG/ML Ophthalmic Suspension [Natacyn]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207136",
    "drug_name": "Methylprednisolone 2 MG Oral Tablet [Medrol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207273",
    "drug_name": "Nitroglycerin 0.02 MG/MG Topical Ointment [Nitro-Bid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207362",
    "drug_name": "Minocycline 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207364",
    "drug_name": "Minocycline 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207370",
    "drug_name": "Penicillamine 250 MG Oral Tablet [Depen]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207373",
    "drug_name": "Mitotane 500 MG Oral Tablet [Lysodren]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207588",
    "drug_name": "Procarbazine 50 MG Oral Capsule [Matulane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207864",
    "drug_name": "crotamiton 100 MG/ML Topical Cream [Eurax]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "207949",
    "drug_name": "Succimer 100 MG Oral Capsule [Chemet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208048",
    "drug_name": "Tolmetin 600 MG Oral Tablet [Tolectin 600]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208117",
    "drug_name": "Sulconazole nitrate 10 MG/ML Topical Cream [Exelderm]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208118",
    "drug_name": "Sulconazole nitrate 10 MG/ML Topical Solution [Exelderm]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208185",
    "drug_name": "Silver Sulfadiazine 10 MG/ML Topical Cream [SSD]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208406",
    "drug_name": "Sulfamethoxazole 40 MG/ML / Trimethoprim 8 MG/ML Oral Suspension [Sulfatrim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208420",
    "drug_name": "Fluorometholone 2.5 MG/ML Ophthalmic Suspension [FML Forte Liquifilm]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208534",
    "drug_name": "thyroid (USP) 15 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208535",
    "drug_name": "thyroid (USP) 30 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208540",
    "drug_name": "thyroid (USP) 60 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208543",
    "drug_name": "thyroid (USP) 90 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208544",
    "drug_name": "thyroid (USP) 120 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208545",
    "drug_name": "thyroid (USP) 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208547",
    "drug_name": "thyroid (USP) 180 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208549",
    "drug_name": "thyroid (USP) 240 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208551",
    "drug_name": "thyroid (USP) 300 MG Oral Tablet [Armour Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "208821",
    "drug_name": "Dexamethasone 0.001 MG/MG / Tobramycin 0.003 MG/MG Ophthalmic Ointment [Tobradex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "209002",
    "drug_name": "prednisolone 1.2 MG/ML Ophthalmic Suspension [Pred Mild]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "209326",
    "drug_name": "Nicotine 2 MG Chewing Gum [Nicorette]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "209788",
    "drug_name": "Cysteamine 150 MG Oral Capsule [Cystagon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "209789",
    "drug_name": "Cysteamine 50 MG Oral Capsule [Cystagon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "211140",
    "drug_name": "Pentosan Polysulfate 100 MG Oral Capsule [Elmiron]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "212118",
    "drug_name": "Nelfinavir 250 MG Oral Tablet [Viracept]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "212787",
    "drug_name": "Cimetidine 60 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213049",
    "drug_name": "Zinc Acetate 25 MG Oral Capsule [Galzin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213050",
    "drug_name": "Zinc Acetate 50 MG Oral Capsule [Galzin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213091",
    "drug_name": "Dolasetron 50 MG Oral Tablet [Anzemet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213224",
    "drug_name": "Ciprofloxacin 50 MG/ML Oral Suspension [Cipro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213226",
    "drug_name": "Ciprofloxacin 100 MG/ML Oral Suspension [Cipro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213282",
    "drug_name": "hydroxyurea 200 MG Oral Capsule [Droxia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213283",
    "drug_name": "hydroxyurea 300 MG Oral Capsule [Droxia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213284",
    "drug_name": "hydroxyurea 400 MG Oral Capsule [Droxia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213337",
    "drug_name": "Sacrosidase 8500 UNT/ML Oral Solution [Sucraid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213360",
    "drug_name": "Thalidomide 50 MG Oral Capsule [Thalomid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213442",
    "drug_name": "insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Injectable Suspension [Novolin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213502",
    "drug_name": "alitretinoin 0.001 MG/MG Topical Gel [Panretin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213510",
    "drug_name": "Auranofin 3 MG Oral Capsule [Ridaura]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "213557",
    "drug_name": "acetohydroxamic acid 250 MG Oral Tablet [Lithostat]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "226343",
    "drug_name": "Dexamethasone phosphate 1 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "226552",
    "drug_name": "72 HR Scopolamine 0.0139 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "226597",
    "drug_name": "Estradiol 0.0006 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "226922",
    "drug_name": "Alprostadil 0.04 MG Injection [Caverject]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "237178",
    "drug_name": "Theophylline 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238003",
    "drug_name": "168 HR Estradiol 0.00208 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238004",
    "drug_name": "168 HR Estradiol 0.00417 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238019",
    "drug_name": "Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238134",
    "drug_name": "Aspirin 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238151",
    "drug_name": "mesalamine 66.7 MG/ML Enema",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238153",
    "drug_name": "Acetaminophen 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238154",
    "drug_name": "Acetaminophen 325 MG / butalbital 50 MG / Caffeine 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238600",
    "drug_name": "selenium sulfide 25 MG/ML Medicated Shampoo",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "238920",
    "drug_name": "Betamethasone 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "239191",
    "drug_name": "Amoxicillin 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "239238",
    "drug_name": "Griseofulvin 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "239239",
    "drug_name": "Griseofulvin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "240128",
    "drug_name": "Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "240209",
    "drug_name": "Betamethasone 0.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "240571",
    "drug_name": "Betamethasone 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "240698",
    "drug_name": "Sodium Fluoride 0.5 MG/ML Mouthwash",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "240741",
    "drug_name": "Clarithromycin 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "241527",
    "drug_name": "168 HR Estradiol 0.00312 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "241834",
    "drug_name": "CYCLOSPORINE, MODIFIED 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "241946",
    "drug_name": "84 HR Estradiol 0.00156 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242120",
    "drug_name": "Insulin Lispro 100 UNT/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242297",
    "drug_name": "Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242333",
    "drug_name": "168 HR Estradiol 0.00104 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242438",
    "drug_name": "montelukast 5 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242446",
    "drug_name": "Ofloxacin 3 MG/ML Otic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242461",
    "drug_name": "cilostazol 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242462",
    "drug_name": "cilostazol 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242679",
    "drug_name": "abacavir 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242680",
    "drug_name": "abacavir 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242736",
    "drug_name": "Metronidazole 7.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242754",
    "drug_name": "Levalbuterol 0.417 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242831",
    "drug_name": "Griseofulvin 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242891",
    "drug_name": "84 HR Estradiol 0.00208 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242892",
    "drug_name": "84 HR Estradiol 0.00417 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242927",
    "drug_name": "thyroid (USP) 32 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "242946",
    "drug_name": "Nitroglycerin 0.02 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "244374",
    "drug_name": "Benzoyl Peroxide 0.05 MG/MG / Erythromycin 0.03 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "244967",
    "drug_name": "Polymyxin B 10000 UNT/ML / Trimethoprim 1 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245134",
    "drug_name": "72 HR Fentanyl 0.025 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245135",
    "drug_name": "72 HR Fentanyl 0.05 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245136",
    "drug_name": "72 HR Fentanyl 0.1 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245248",
    "drug_name": "Griseofulvin 165 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245273",
    "drug_name": "Digoxin 0.0625 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245314",
    "drug_name": "Albuterol 5 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "245723",
    "drug_name": "Tretinoin 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "246172",
    "drug_name": "clobazam 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "248109",
    "drug_name": "Ribavirin 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "248420",
    "drug_name": "mesalamine 1000 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "248478",
    "drug_name": "84 HR Estradiol 0.00104 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "248642",
    "drug_name": "Fluoxetine 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "248656",
    "drug_name": "Azithromycin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "249066",
    "drug_name": "prednisolone 5 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "250344",
    "drug_name": "ciclopirox 10 MG/ML Medicated Shampoo",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "250820",
    "drug_name": "Vigabatrin 500 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "251322",
    "drug_name": "Ethosuximide 50 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "251872",
    "drug_name": "pantoprazole 20 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "252463",
    "drug_name": "Folic Acid 0.8 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "252478",
    "drug_name": "lamotrigine 50 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "252479",
    "drug_name": "lamotrigine 200 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "252559",
    "drug_name": "Budesonide 0.5 MG/ML Inhalation Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "259081",
    "drug_name": "12 HR Aspirin 25 MG / Dipyridamole 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "259255",
    "drug_name": "atorvastatin 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "259306",
    "drug_name": "alosetron 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "259966",
    "drug_name": "Methylprednisolone 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "260218",
    "drug_name": "modafinil 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "260243",
    "drug_name": "Progesterone 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "260260",
    "drug_name": "Carbidopa 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "260376",
    "drug_name": "Terazosin 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "261101",
    "drug_name": "rifapentine 150 MG Oral Tablet [Priftin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "261134",
    "drug_name": "Tacrolimus 0.5 MG Oral Capsule [Prograf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "261178",
    "drug_name": "Nystatin 100 UNT/MG Topical Powder [Nystop]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "261315",
    "drug_name": "Oseltamivir 75 MG Oral Capsule [Tamiflu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "261962",
    "drug_name": "Ramipril 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "282401",
    "drug_name": "lamotrigine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "282755",
    "drug_name": "telmisartan 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283077",
    "drug_name": "prednisolone 3 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283316",
    "drug_name": "Hydrochlorothiazide 12.5 MG / telmisartan 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283317",
    "drug_name": "Hydrochlorothiazide 12.5 MG / telmisartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283402",
    "drug_name": "cetrorelix 0.25 MG Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283406",
    "drug_name": "Mirtazapine 15 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283407",
    "drug_name": "Mirtazapine 30 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283417",
    "drug_name": "benzonatate 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283485",
    "drug_name": "Mirtazapine 45 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283523",
    "drug_name": "gabapentin 50 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283535",
    "drug_name": "doxycycline hyclate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283536",
    "drug_name": "oxcarbazepine 60 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283639",
    "drug_name": "olanzapine 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283672",
    "drug_name": "Citalopram 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "283858",
    "drug_name": "ropinirole 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284008",
    "drug_name": "travoprost 0.04 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284191",
    "drug_name": "Fluorouracil 5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284201",
    "drug_name": "zolmitriptan 2.5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284204",
    "drug_name": "almotriptan 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284205",
    "drug_name": "almotriptan 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284207",
    "drug_name": "drospirenone 3 MG / Ethinyl Estradiol 0.03 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284215",
    "drug_name": "Clindamycin 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284245",
    "drug_name": "Famotidine 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284478",
    "drug_name": "Mifepristone 200 MG Oral Tablet [Mifeprex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284592",
    "drug_name": "Methotrexate 5 MG Oral Tablet [Trexall]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284593",
    "drug_name": "Methotrexate 10 MG Oral Tablet [Trexall]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284594",
    "drug_name": "Methotrexate 7.5 MG Oral Tablet [Trexall]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "284595",
    "drug_name": "Methotrexate 15 MG Oral Tablet [Trexall]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "285018",
    "drug_name": "Insulin Glargine 100 UNT/ML Injectable Solution [Lantus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "307718",
    "drug_name": "Acetylcysteine 100 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "307719",
    "drug_name": "Acetylcysteine 200 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "307730",
    "drug_name": "Acyclovir 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "307732",
    "drug_name": "adapalene 1 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308047",
    "drug_name": "Alprazolam 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308048",
    "drug_name": "Alprazolam 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308135",
    "drug_name": "Amlodipine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308136",
    "drug_name": "Amlodipine 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308177",
    "drug_name": "Amoxicillin 125 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308182",
    "drug_name": "Amoxicillin 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308189",
    "drug_name": "Amoxicillin 80 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308191",
    "drug_name": "Amoxicillin 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308192",
    "drug_name": "Amoxicillin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308194",
    "drug_name": "Amoxicillin 875 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308212",
    "drug_name": "Ampicillin 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308345",
    "drug_name": "apraclonidine 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308429",
    "drug_name": "Atovaquone 150 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308459",
    "drug_name": "Azithromycin 20 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308460",
    "drug_name": "Azithromycin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308493",
    "drug_name": "Bacitracin 0.4 UNT/MG / Neomycin 0.0035 MG/MG / Polymyxin B 10 UNT/MG Ophthalmic Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308714",
    "drug_name": "Betamethasone 0.5 MG/ML / Clotrimazole 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308715",
    "drug_name": "Betamethasone 0.5 MG/ML / Clotrimazole 10 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308720",
    "drug_name": "Betaxolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308724",
    "drug_name": "bexarotene 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308725",
    "drug_name": "bexarotene 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308739",
    "drug_name": "bimatoprost 0.3 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308805",
    "drug_name": "brinzolamide 10 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308865",
    "drug_name": "calcipotriene 0.05 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308866",
    "drug_name": "salmon calcitonin 200 UNT/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308867",
    "drug_name": "Calcitriol 0.00025 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308868",
    "drug_name": "Calcitriol 0.0005 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308962",
    "drug_name": "Captopril 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308963",
    "drug_name": "Captopril 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308964",
    "drug_name": "Captopril 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308971",
    "drug_name": "Carbamazepine 20 MG/ML Oral Suspension [Tegretol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308972",
    "drug_name": "Carbamazepine 200 MG Oral Tablet [Tegretol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308973",
    "drug_name": "Carbamazepine 100 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308976",
    "drug_name": "Carbamazepine 20 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308977",
    "drug_name": "12 HR Carbamazepine 200 MG Extended Release Oral Capsule [Carbatrol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308979",
    "drug_name": "Carbamazepine 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308988",
    "drug_name": "Carbidopa 25 MG / Levodopa 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "308989",
    "drug_name": "Carbidopa 50 MG / Levodopa 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309043",
    "drug_name": "12 HR Cefaclor 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309045",
    "drug_name": "Cefaclor 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309047",
    "drug_name": "Cefadroxil 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309048",
    "drug_name": "Cefadroxil 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309049",
    "drug_name": "Cefadroxil 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309054",
    "drug_name": "cefdinir 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309058",
    "drug_name": "Cefixime 20 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309076",
    "drug_name": "cefpodoxime 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309077",
    "drug_name": "cefpodoxime 20 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309078",
    "drug_name": "cefpodoxime 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309079",
    "drug_name": "cefpodoxime 10 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309080",
    "drug_name": "cefprozil 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309081",
    "drug_name": "cefprozil 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309097",
    "drug_name": "Cefuroxime 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309098",
    "drug_name": "Cefuroxime 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309110",
    "drug_name": "Cephalexin 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309112",
    "drug_name": "Cephalexin 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309113",
    "drug_name": "Cephalexin 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309114",
    "drug_name": "Cephalexin 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309115",
    "drug_name": "Cephalexin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309140",
    "drug_name": "cevimeline hydrochloride 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309289",
    "drug_name": "ciclopirox 7.7 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309290",
    "drug_name": "ciclopirox 7.7 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309291",
    "drug_name": "ciclopirox 80 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309305",
    "drug_name": "Ciprofloxacin 2 MG/ML / Hydrocortisone 10 MG/ML Otic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309307",
    "drug_name": "Ciprofloxacin 3 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309309",
    "drug_name": "Ciprofloxacin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309313",
    "drug_name": "Citalopram 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309314",
    "drug_name": "Citalopram 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309317",
    "drug_name": "Citric Acid 66.8 MG/ML / potassium citrate 110 MG/ML / sodium citrate 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309322",
    "drug_name": "Clarithromycin 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309329",
    "drug_name": "Clindamycin 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309332",
    "drug_name": "Once-Daily clindamycin 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309333",
    "drug_name": "Clindamycin 10 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309337",
    "drug_name": "Clindamycin 20 MG/ML Vaginal Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309362",
    "drug_name": "clopidogrel 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309371",
    "drug_name": "Clotrimazole 10 MG Oral Lozenge",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309374",
    "drug_name": "Clozapine 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309680",
    "drug_name": "Dexamethasone 1 MG/ML / Neomycin 3.5 MG/ML / Polymyxin B 10000 UNT/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309683",
    "drug_name": "Dexamethasone 1 MG/ML / Tobramycin 3 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309686",
    "drug_name": "Dexamethasone 0.1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309844",
    "drug_name": "Diazepam 5 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309952",
    "drug_name": "Dipyridamole 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309955",
    "drug_name": "Dipyridamole 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309958",
    "drug_name": "Disopyramide 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "309960",
    "drug_name": "Disopyramide 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310003",
    "drug_name": "dofetilide 0.125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310004",
    "drug_name": "dofetilide 0.25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310005",
    "drug_name": "dofetilide 0.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310015",
    "drug_name": "dorzolamide 20 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310023",
    "drug_name": "Doxercalciferol 0.0025 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310149",
    "drug_name": "Erythromycin 0.005 MG/MG Ophthalmic Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310152",
    "drug_name": "Erythromycin 0.02 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310154",
    "drug_name": "Erythromycin 250 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310155",
    "drug_name": "Erythromycin 250 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310157",
    "drug_name": "Erythromycin 500 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310169",
    "drug_name": "Estradiol 0.1 MG/ML Vaginal Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310189",
    "drug_name": "estradiol valerate 10 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310190",
    "drug_name": "estradiol valerate 20 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310191",
    "drug_name": "estradiol valerate 40 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310197",
    "drug_name": "Estrogens, Conjugated (USP) 0.625 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310245",
    "drug_name": "24 HR Etodolac 400 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310247",
    "drug_name": "24 HR Etodolac 600 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310261",
    "drug_name": "exemestane 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310274",
    "drug_name": "Famotidine 8 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310285",
    "drug_name": "felbamate 120 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310288",
    "drug_name": "Fenofibrate 134 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310289",
    "drug_name": "Fenofibrate 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310346",
    "drug_name": "Finasteride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310352",
    "drug_name": "Fluconazole 10 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310353",
    "drug_name": "Fluconazole 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310362",
    "drug_name": "Fluocinonide 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310364",
    "drug_name": "Fluocinonide 0.5 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310377",
    "drug_name": "Fluorometholone 1 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310379",
    "drug_name": "Fluorouracil 20 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310380",
    "drug_name": "Fluorouracil 50 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310384",
    "drug_name": "Fluoxetine 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310385",
    "drug_name": "Fluoxetine 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310386",
    "drug_name": "Fluoxetine 4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310404",
    "drug_name": "fluvastatin 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310405",
    "drug_name": "fluvastatin 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310429",
    "drug_name": "Furosemide 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310430",
    "drug_name": "gabapentin 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310431",
    "drug_name": "gabapentin 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310432",
    "drug_name": "gabapentin 400 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310433",
    "drug_name": "gabapentin 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310434",
    "drug_name": "gabapentin 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310436",
    "drug_name": "Galantamine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310437",
    "drug_name": "Galantamine 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310459",
    "drug_name": "Gemfibrozil 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310465",
    "drug_name": "Gentamicin 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310467",
    "drug_name": "Gentamicin 3 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310488",
    "drug_name": "Glipizide 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310489",
    "drug_name": "24 HR Glipizide 2.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310490",
    "drug_name": "Glipizide 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310534",
    "drug_name": "Glyburide 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310537",
    "drug_name": "Glyburide 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310594",
    "drug_name": "Gramicidin 0.025 MG/ML / Neomycin 1.75 MG/ML / Polymyxin B 10000 UNT/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310599",
    "drug_name": "Granisetron 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310600",
    "drug_name": "Griseofulvin 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310669",
    "drug_name": "Halcinonide 1 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310670",
    "drug_name": "Haloperidol 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310671",
    "drug_name": "Haloperidol 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310672",
    "drug_name": "Haloperidol 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310687",
    "drug_name": "Hydrocortisone 10 MG/ML / Neomycin 3.5 MG/ML / Polymyxin B 10000 UNT/ML Otic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310792",
    "drug_name": "Hydrochlorothiazide 12.5 MG / irbesartan 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310793",
    "drug_name": "Hydrochlorothiazide 12.5 MG / irbesartan 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310796",
    "drug_name": "Hydrochlorothiazide 12.5 MG / quinapril 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310797",
    "drug_name": "Hydrochlorothiazide 12.5 MG / quinapril 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310798",
    "drug_name": "Hydrochlorothiazide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310809",
    "drug_name": "Hydrochlorothiazide 25 MG / quinapril 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310812",
    "drug_name": "Hydrochlorothiazide 25 MG / Triamterene 37.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310818",
    "drug_name": "Hydrochlorothiazide 50 MG / Triamterene 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310878",
    "drug_name": "Hydrocortisone 1.67 MG/ML Enema",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310879",
    "drug_name": "Hydrocortisone 25 MG/ML Rectal Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310891",
    "drug_name": "Hydrocortisone 25 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310982",
    "drug_name": "imiquimod 50 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310991",
    "drug_name": "Indomethacin 5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "310992",
    "drug_name": "Indomethacin 75 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311026",
    "drug_name": "insulin isophane, human 100 UNT/ML Injectable Suspension [Humulin N]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311027",
    "drug_name": "insulin isophane, human 100 UNT/ML Injectable Suspension [Novolin N]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311033",
    "drug_name": "insulin, regular, human 100 UNT/ML Injectable Solution [Novolin R]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311036",
    "drug_name": "insulin, regular, human 100 UNT/ML Injectable Solution [Humulin R]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311166",
    "drug_name": "isoniazid 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311192",
    "drug_name": "Isosorbide Mononitrate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311196",
    "drug_name": "24 HR Isosorbide Mononitrate 120 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311197",
    "drug_name": "Isosorbide Mononitrate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311204",
    "drug_name": "Itraconazole 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311207",
    "drug_name": "Ivermectin 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311264",
    "drug_name": "lamotrigine 25 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311265",
    "drug_name": "lamotrigine 5 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311277",
    "drug_name": "lansoprazole 30 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311286",
    "drug_name": "Levalbuterol 0.21 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311288",
    "drug_name": "Levetiracetam 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311289",
    "drug_name": "Levetiracetam 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311290",
    "drug_name": "Levetiracetam 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311296",
    "drug_name": "Levofloxacin 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311345",
    "drug_name": "linezolid 20 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311347",
    "drug_name": "linezolid 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311353",
    "drug_name": "Lisinopril 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311354",
    "drug_name": "Lisinopril 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311355",
    "drug_name": "Lithium Carbonate 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311376",
    "drug_name": "Lorazepam 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311381",
    "drug_name": "loteprednol etabonate 2 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311382",
    "drug_name": "loteprednol etabonate 5 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311385",
    "drug_name": "Loxapine 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311386",
    "drug_name": "Loxapine 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311486",
    "drug_name": "meloxicam 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311666",
    "drug_name": "Metoclopramide 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311668",
    "drug_name": "Metoclopramide 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311671",
    "drug_name": "Metolazone 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311678",
    "drug_name": "Metronidazole 7.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311679",
    "drug_name": "Metronidazole 0.0075 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311681",
    "drug_name": "Metronidazole 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311704",
    "drug_name": "Mifepristone 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311725",
    "drug_name": "Mirtazapine 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311726",
    "drug_name": "Mirtazapine 45 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311727",
    "drug_name": "Misoprostol 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311753",
    "drug_name": "mometasone furoate 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311759",
    "drug_name": "montelukast 4 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311787",
    "drug_name": "moxifloxacin 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311877",
    "drug_name": "Mupirocin 20 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311880",
    "drug_name": "mycophenolate mofetil 200 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311892",
    "drug_name": "nabumetone 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311893",
    "drug_name": "nabumetone 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311913",
    "drug_name": "Naproxen 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311915",
    "drug_name": "Naproxen 500 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311918",
    "drug_name": "naratriptan 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311919",
    "drug_name": "nateglinide 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311943",
    "drug_name": "Nevirapine 10 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311944",
    "drug_name": "Niacin 500 MG Oral Tablet [Niacor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311960",
    "drug_name": "Niacin 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311963",
    "drug_name": "Niacin 750 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311975",
    "drug_name": "Nicotine 4 MG Chewing Gum",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311982",
    "drug_name": "nilutamide 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311989",
    "drug_name": "Nitrofurantoin 5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311994",
    "drug_name": "NITROFURANTOIN, MACROCRYSTALS 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "311995",
    "drug_name": "NITROFURANTOIN, MACROCRYSTALS 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312025",
    "drug_name": "Nizatidine 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312036",
    "drug_name": "Nortriptyline 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312055",
    "drug_name": "Nystatin 100000 UNT/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312059",
    "drug_name": "Nystatin 500000 UNT Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312068",
    "drug_name": "1 ML Octreotide 0.05 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312069",
    "drug_name": "1 ML Octreotide 0.1 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312070",
    "drug_name": "1 ML Octreotide 0.5 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312075",
    "drug_name": "Ofloxacin 3 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312076",
    "drug_name": "olanzapine 10 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312077",
    "drug_name": "olanzapine 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312078",
    "drug_name": "olanzapine 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312079",
    "drug_name": "olanzapine 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312084",
    "drug_name": "Ondansetron 24 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312085",
    "drug_name": "Ondansetron 0.8 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312086",
    "drug_name": "Ondansetron 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312087",
    "drug_name": "Ondansetron 8 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312122",
    "drug_name": "Oseltamivir 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312132",
    "drug_name": "oxaprozin 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312134",
    "drug_name": "Oxazepam 15 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312136",
    "drug_name": "oxcarbazepine 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312137",
    "drug_name": "oxcarbazepine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312138",
    "drug_name": "oxcarbazepine 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312139",
    "drug_name": "oxiconazole 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312242",
    "drug_name": "Paroxetine Hydrochloride 2 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312255",
    "drug_name": "penciclovir 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312289",
    "drug_name": "Naloxone 0.5 MG / Pentazocine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312301",
    "drug_name": "Pentoxifylline 400 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312347",
    "drug_name": "Phenelzine 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312362",
    "drug_name": "Phenobarbital 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312439",
    "drug_name": "Pimozide 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312440",
    "drug_name": "pioglitazone 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312441",
    "drug_name": "pioglitazone 45 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312466",
    "drug_name": "podofilox 0.005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312504",
    "drug_name": "Potassium Chloride 10 MEQ Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312515",
    "drug_name": "Potassium Chloride 1.33 MEQ/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312529",
    "drug_name": "Potassium Chloride 8 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312541",
    "drug_name": "Potassium Iodide 1000 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312593",
    "drug_name": "Prazosin 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312594",
    "drug_name": "Prazosin 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312614",
    "drug_name": "prednisolone 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312615",
    "drug_name": "Prednisone 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312617",
    "drug_name": "Prednisone 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312635",
    "drug_name": "Prochlorperazine 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312641",
    "drug_name": "Progesterone 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312644",
    "drug_name": "Progesterone 50 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312743",
    "drug_name": "quetiapine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312744",
    "drug_name": "quetiapine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312745",
    "drug_name": "quetiapine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312748",
    "drug_name": "quinapril 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312749",
    "drug_name": "quinapril 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312750",
    "drug_name": "quinapril 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312817",
    "drug_name": "Ribavirin 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312818",
    "drug_name": "Ribavirin 20 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312828",
    "drug_name": "Risperidone 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312829",
    "drug_name": "Risperidone 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312830",
    "drug_name": "Risperidone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312831",
    "drug_name": "Risperidone 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312832",
    "drug_name": "Risperidone 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312835",
    "drug_name": "rivastigmine 3 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312836",
    "drug_name": "rivastigmine 6 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312837",
    "drug_name": "rizatriptan 10 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312839",
    "drug_name": "rizatriptan 5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312840",
    "drug_name": "rizatriptan 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312845",
    "drug_name": "ropinirole 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312846",
    "drug_name": "ropinirole 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312847",
    "drug_name": "ropinirole 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312849",
    "drug_name": "ropinirole 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312899",
    "drug_name": "Salsalate 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312938",
    "drug_name": "Sertraline 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312940",
    "drug_name": "Sertraline 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312941",
    "drug_name": "Sertraline 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312950",
    "drug_name": "sildenafil 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312961",
    "drug_name": "Simvastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312962",
    "drug_name": "Simvastatin 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "312997",
    "drug_name": "Sodium Chloride 9 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313036",
    "drug_name": "Sodium Fluoride 1.1 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313038",
    "drug_name": "Sodium Fluoride 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313043",
    "drug_name": "Sodium Fluoride 2.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313072",
    "drug_name": "Sodium polystyrene sulfonate 250 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313096",
    "drug_name": "Spironolactone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313123",
    "drug_name": "Sucralfate 100 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313125",
    "drug_name": "Sulconazole nitrate 10 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313134",
    "drug_name": "Sulfamethoxazole 40 MG/ML / Trimethoprim 8 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313142",
    "drug_name": "Sulfasalazine 500 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313159",
    "drug_name": "Sumatriptan 5 MG/ACTUAT Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313160",
    "drug_name": "Sumatriptan 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313161",
    "drug_name": "Sumatriptan 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313165",
    "drug_name": "0.5 ML Sumatriptan 12 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313189",
    "drug_name": "Tacrolimus 0.0003 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313190",
    "drug_name": "Tacrolimus 0.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313195",
    "drug_name": "Tamoxifen 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313199",
    "drug_name": "tazarotene 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313200",
    "drug_name": "tazarotene 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313201",
    "drug_name": "tazarotene 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313209",
    "drug_name": "temozolomide 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313210",
    "drug_name": "temozolomide 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313211",
    "drug_name": "temozolomide 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313215",
    "drug_name": "Terazosin 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313217",
    "drug_name": "Terazosin 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313219",
    "drug_name": "Terazosin 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313222",
    "drug_name": "terbinafine 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313226",
    "drug_name": "terconazole 4 MG/ML Vaginal Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313227",
    "drug_name": "terconazole 8 MG/ML Vaginal Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313291",
    "drug_name": "Theophylline 400 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313306",
    "drug_name": "Theophylline 5.33 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313354",
    "drug_name": "Thioridazine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313361",
    "drug_name": "Thiothixene 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313362",
    "drug_name": "Thiothixene 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313364",
    "drug_name": "Thiothixene 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313366",
    "drug_name": "Thiothixene 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313387",
    "drug_name": "thyroid (USP) 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313391",
    "drug_name": "thyroid (USP) 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313393",
    "drug_name": "thyroid (USP) 90 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313407",
    "drug_name": "Timolol 0.0025 MG/MG Ophthalmic Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313408",
    "drug_name": "Timolol 0.005 MG/MG Ophthalmic Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313412",
    "drug_name": "tizanidine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313413",
    "drug_name": "tizanidine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313415",
    "drug_name": "Tobramycin 3 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313428",
    "drug_name": "Toremifene 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313447",
    "drug_name": "Tranylcypromine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313450",
    "drug_name": "Tretinoin 0.0001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313451",
    "drug_name": "Tretinoin 0.00025 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313453",
    "drug_name": "Tretinoin 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313472",
    "drug_name": "Trientine hydrochloride 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313477",
    "drug_name": "Trifluridine 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313496",
    "drug_name": "Trimipramine 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313498",
    "drug_name": "Trimipramine 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313499",
    "drug_name": "Trimipramine 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313521",
    "drug_name": "Tropicamide 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313564",
    "drug_name": "valacyclovir 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313565",
    "drug_name": "valacyclovir 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313566",
    "drug_name": "valganciclovir 450 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313570",
    "drug_name": "Vancomycin 125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313571",
    "drug_name": "Vancomycin 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313580",
    "drug_name": "venlafaxine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313581",
    "drug_name": "24 HR venlafaxine 150 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313582",
    "drug_name": "venlafaxine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313583",
    "drug_name": "24 HR venlafaxine 37.5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313584",
    "drug_name": "venlafaxine 37.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313585",
    "drug_name": "24 HR venlafaxine 75 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313586",
    "drug_name": "venlafaxine 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313758",
    "drug_name": "zafirlukast 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313761",
    "drug_name": "zaleplon 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313762",
    "drug_name": "zaleplon 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313776",
    "drug_name": "ziprasidone 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313777",
    "drug_name": "ziprasidone 60 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313778",
    "drug_name": "ziprasidone 80 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313786",
    "drug_name": "Acetic Acid 20 MG/ML / Hydrocortisone 10 MG/ML Otic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313797",
    "drug_name": "Amoxicillin 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313850",
    "drug_name": "Amoxicillin 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313852",
    "drug_name": "adapalene 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313888",
    "drug_name": "Cefaclor 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313919",
    "drug_name": "salmon calcitonin 200 UNT/ACTUAT Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313921",
    "drug_name": "calcipotriene 0.05 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313931",
    "drug_name": "12 HR Carbamazepine 300 MG Extended Release Oral Capsule [Carbatrol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313932",
    "drug_name": "Calcitriol 0.001 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313941",
    "drug_name": "ciclopirox 0.0077 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313979",
    "drug_name": "fludrocortisone acetate 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313988",
    "drug_name": "Furosemide 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313989",
    "drug_name": "Fluoxetine 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313990",
    "drug_name": "Fluoxetine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "313995",
    "drug_name": "Fluoxetine 90 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314006",
    "drug_name": "24 HR Glipizide 5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314034",
    "drug_name": "Haloperidol 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314035",
    "drug_name": "Haloperidol 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314055",
    "drug_name": "Isosorbide Dinitrate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314072",
    "drug_name": "latanoprost 0.05 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314075",
    "drug_name": "Loxapine 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314076",
    "drug_name": "Lisinopril 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314077",
    "drug_name": "Lisinopril 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314078",
    "drug_name": "Loxapine 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314080",
    "drug_name": "Levofloxacin 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314088",
    "drug_name": "methscopolamine bromide 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314106",
    "drug_name": "Metronidazole 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314108",
    "drug_name": "Minocycline 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314111",
    "drug_name": "Mirtazapine 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314119",
    "drug_name": "Nicotine 2 MG Chewing Gum",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314135",
    "drug_name": "naratriptan 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314142",
    "drug_name": "nateglinide 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314154",
    "drug_name": "olanzapine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314155",
    "drug_name": "olanzapine 5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314163",
    "drug_name": "Potassium Chloride 8 MEQ Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314165",
    "drug_name": "prednisolone 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314182",
    "drug_name": "Potassium Chloride 2.67 MEQ/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314200",
    "drug_name": "pantoprazole 40 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314203",
    "drug_name": "quinapril 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314208",
    "drug_name": "ropinirole 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314209",
    "drug_name": "rizatriptan 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314211",
    "drug_name": "Risperidone 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314214",
    "drug_name": "rivastigmine 1.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314215",
    "drug_name": "rivastigmine 4.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314227",
    "drug_name": "Sumatriptan 20 MG/ACTUAT Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314228",
    "drug_name": "sildenafil 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314229",
    "drug_name": "sildenafil 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314230",
    "drug_name": "Sirolimus 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314231",
    "drug_name": "Simvastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314234",
    "drug_name": "Sucralfate 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314238",
    "drug_name": "Tropicamide 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314241",
    "drug_name": "Theophylline 450 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314266",
    "drug_name": "Tacrolimus 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314267",
    "drug_name": "thyroid (USP) 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314268",
    "drug_name": "tazarotene 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314277",
    "drug_name": "venlafaxine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314285",
    "drug_name": "zonisamide 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "314286",
    "drug_name": "ziprasidone 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315059",
    "drug_name": "Desoximetasone 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315090",
    "drug_name": "Erythromycin 333 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315102",
    "drug_name": "Sodium Fluoride 1.1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315107",
    "drug_name": "24 HR Glipizide 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315134",
    "drug_name": "Levocarnitine 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315183",
    "drug_name": "Potassium Chloride 8 MEQ Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315187",
    "drug_name": "Prednisone 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315213",
    "drug_name": "Sodium Fluoride 2.2 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "315223",
    "drug_name": "Sumatriptan 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317094",
    "drug_name": "entacapone 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317110",
    "drug_name": "24 HR Isosorbide Mononitrate 30 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317128",
    "drug_name": "Misoprostol 0.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317136",
    "drug_name": "Nortriptyline 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317160",
    "drug_name": "temozolomide 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317173",
    "drug_name": "Captopril 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317174",
    "drug_name": "quetiapine 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317573",
    "drug_name": "pioglitazone 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "317769",
    "drug_name": "Theophylline 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "318202",
    "drug_name": "Erythromycin 20 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "318272",
    "drug_name": "Aspirin 81 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "328160",
    "drug_name": "Cyclosporine 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "328161",
    "drug_name": "Methylprednisolone 16 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "343033",
    "drug_name": "Dexamethasone 0.75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "346574",
    "drug_name": "Theophylline 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "347061",
    "drug_name": "Sodium Fluoride 0.5 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "348472",
    "drug_name": "Theophylline 600 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "348506",
    "drug_name": "Itraconazole 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "348719",
    "drug_name": "Tobramycin 60 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349094",
    "drug_name": "Budesonide 0.125 MG/ML Inhalation Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349194",
    "drug_name": "Clonazepam 0.125 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349195",
    "drug_name": "Clonazepam 0.25 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349196",
    "drug_name": "Clonazepam 1 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349197",
    "drug_name": "Clonazepam 2 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349198",
    "drug_name": "Clonazepam 0.5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349199",
    "drug_name": "valsartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349200",
    "drug_name": "valsartan 320 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349201",
    "drug_name": "valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349208",
    "drug_name": "Sirolimus 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349251",
    "drug_name": "Tenofovir disoproxil fumarate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349253",
    "drug_name": "bosentan 62.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349287",
    "drug_name": "Fenofibrate 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349332",
    "drug_name": "Escitalopram 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349351",
    "drug_name": "Desonide 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349353",
    "drug_name": "Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349373",
    "drug_name": "Olmesartan medoxomil 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349401",
    "drug_name": "Olmesartan medoxomil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349405",
    "drug_name": "Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349420",
    "drug_name": "desloratadine 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349434",
    "drug_name": "voriconazole 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349435",
    "drug_name": "voriconazole 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349462",
    "drug_name": "frovatriptan 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349472",
    "drug_name": "gefitinib 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349477",
    "drug_name": "efavirenz 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349478",
    "drug_name": "vardenafil 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349479",
    "drug_name": "vardenafil 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349480",
    "drug_name": "vardenafil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349482",
    "drug_name": "Sodium Oxybate 500 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349483",
    "drug_name": "valsartan 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349490",
    "drug_name": "aripiprazole 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349491",
    "drug_name": "Lamivudine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349514",
    "drug_name": "celecoxib 400 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349545",
    "drug_name": "aripiprazole 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349547",
    "drug_name": "aripiprazole 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349553",
    "drug_name": "aripiprazole 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349556",
    "drug_name": "ezetimibe 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349590",
    "drug_name": "Levalbuterol 0.103 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349591",
    "drug_name": "atomoxetine 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349592",
    "drug_name": "atomoxetine 18 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349593",
    "drug_name": "atomoxetine 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349594",
    "drug_name": "atomoxetine 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "349595",
    "drug_name": "atomoxetine 60 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351107",
    "drug_name": "olanzapine 15 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351108",
    "drug_name": "olanzapine 20 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351109",
    "drug_name": "Budesonide 0.25 MG/ML Inhalation Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351133",
    "drug_name": "Fenofibrate 54 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351134",
    "drug_name": "zolmitriptan 5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351136",
    "drug_name": "Albuterol 0.417 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351137",
    "drug_name": "Albuterol 0.21 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351172",
    "drug_name": "Dutasteride 0.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351173",
    "drug_name": "nitisinone 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351174",
    "drug_name": "nitisinone 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351175",
    "drug_name": "nitisinone 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351246",
    "drug_name": "montelukast 4 MG Oral Granules",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351249",
    "drug_name": "Escitalopram 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351250",
    "drug_name": "Escitalopram 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351254",
    "drug_name": "metaxalone 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351256",
    "drug_name": "eplerenone 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351257",
    "drug_name": "eplerenone 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351260",
    "drug_name": "lansoprazole 30 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351264",
    "drug_name": "Buprenorphine 2 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351265",
    "drug_name": "Buprenorphine 8 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351266",
    "drug_name": "Buprenorphine 2 MG / Naloxone 0.5 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351267",
    "drug_name": "Buprenorphine 8 MG / Naloxone 2 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351285",
    "drug_name": "Escitalopram 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351427",
    "drug_name": "24 HR Nicotine 0.583 MG/HR Transdermal System [Nicoderm C-Q]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351429",
    "drug_name": "24 HR Nicotine 0.875 MG/HR Transdermal System [Nicoderm C-Q]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351433",
    "drug_name": "24 HR Nicotine 0.292 MG/HR Transdermal System [Nicoderm C-Q]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351926",
    "drug_name": "insulin aspart, human 100 UNT/ML Injectable Solution [NovoLog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "351993",
    "drug_name": "Follitropin Alfa 600 UNT/ML Injectable Solution [Gonal F]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "352119",
    "drug_name": "nitisinone 2 MG Oral Capsule [Orfadin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "352120",
    "drug_name": "nitisinone 5 MG Oral Capsule [Orfadin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "352121",
    "drug_name": "nitisinone 10 MG Oral Capsule [Orfadin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "352297",
    "drug_name": "1 ML peginterferon alfa-2a 0.18 MG/ML Injection [Pegasys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "353538",
    "drug_name": "24 HR Isosorbide Mononitrate 60 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "358917",
    "drug_name": "Benzoyl Peroxide 0.05 MG/MG / Clindamycin 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359050",
    "drug_name": "Tretinoin 0.0004 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359228",
    "drug_name": "Azathioprine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359229",
    "drug_name": "Azathioprine 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359296",
    "drug_name": "calcium acetate 667 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359385",
    "drug_name": "24 HR Clarithromycin 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359493",
    "drug_name": "eletriptan 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359494",
    "drug_name": "eletriptan 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359500",
    "drug_name": "24 HR Etodolac 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359697",
    "drug_name": "24 HR Ketoprofen 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359817",
    "drug_name": "Nicotine 2 MG Oral Lozenge",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "359818",
    "drug_name": "Nicotine 4 MG Oral Lozenge",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "360110",
    "drug_name": "Sirolimus 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "360507",
    "drug_name": "24 HR fluvastatin 80 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "381056",
    "drug_name": "Isosorbide Dinitrate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "387003",
    "drug_name": "Levetiracetam 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "387013",
    "drug_name": "nebivolol 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "388311",
    "drug_name": "12 HR Carbamazepine 100 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "388517",
    "drug_name": "Calcitriol 0.000003 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "388525",
    "drug_name": "Betamethasone 0.0005 MG/MG / calcipotriene 0.00005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "389201",
    "drug_name": "quetiapine 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "389242",
    "drug_name": "deferiprone 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "391937",
    "drug_name": "Lactulose 667 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "392073",
    "drug_name": "Indomethacin 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "393245",
    "drug_name": "Digoxin 0.05 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "401938",
    "drug_name": "Miglustat 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "401953",
    "drug_name": "Risperidone 1 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "401954",
    "drug_name": "Risperidone 2 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402000",
    "drug_name": "zolmitriptan 5 MG/ACTUAT Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402019",
    "drug_name": "tadalafil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402092",
    "drug_name": "Cyclosporine 0.5 MG/ML Ophthalmic Suspension [Restasis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402109",
    "drug_name": "fosamprenavir 700 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402131",
    "drug_name": "aripiprazole 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402246",
    "drug_name": "Atazanavir 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402247",
    "drug_name": "Atazanavir 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402252",
    "drug_name": "168 HR Estradiol 0.00188 MG/HR / Levonorgestrel 0.000625 MG/HR Transdermal System [Climara Pro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402273",
    "drug_name": "vardenafil 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402505",
    "drug_name": "12 HR Carbamazepine 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402506",
    "drug_name": "12 HR Carbamazepine 400 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402695",
    "drug_name": "24 HR Felodipine 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402696",
    "drug_name": "24 HR Felodipine 5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "402698",
    "drug_name": "24 HR Felodipine 2.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403810",
    "drug_name": "aprepitant 80 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403811",
    "drug_name": "aprepitant 125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403818",
    "drug_name": "moxifloxacin 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403825",
    "drug_name": "Risperidone 0.5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403840",
    "drug_name": "Minocycline 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403841",
    "drug_name": "desloratadine 5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403849",
    "drug_name": "Estrogens, Conjugated (USP) 0.45 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403850",
    "drug_name": "Carbidopa 12.5 MG / entacapone 200 MG / Levodopa 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403851",
    "drug_name": "Carbidopa 25 MG / entacapone 200 MG / Levodopa 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403852",
    "drug_name": "Carbidopa 37.5 MG / entacapone 200 MG / Levodopa 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403853",
    "drug_name": "Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403854",
    "drug_name": "Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403855",
    "drug_name": "Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403875",
    "drug_name": "emtricitabine 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403878",
    "drug_name": "imatinib 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403879",
    "drug_name": "imatinib 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403884",
    "drug_name": "Levetiracetam 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403888",
    "drug_name": "Microencapsulated Potassium Chloride 15 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403908",
    "drug_name": "Ciprofloxacin 3 MG/ML / Dexamethasone 1 MG/ML Otic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403914",
    "drug_name": "methscopolamine bromide 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403922",
    "drug_name": "168 HR Estradiol 0.00156 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403923",
    "drug_name": "168 HR Estradiol 0.0025 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403930",
    "drug_name": "Isotretinoin 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403957",
    "drug_name": "tadalafil 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403966",
    "drug_name": "zonisamide 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403967",
    "drug_name": "zonisamide 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403969",
    "drug_name": "Fluoxetine 25 MG / olanzapine 6 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403970",
    "drug_name": "Fluoxetine 25 MG / olanzapine 12 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403971",
    "drug_name": "Fluoxetine 50 MG / olanzapine 12 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403972",
    "drug_name": "Fluoxetine 50 MG / olanzapine 6 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "403975",
    "drug_name": "alosetron 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404011",
    "drug_name": "Amlodipine 5 MG / atorvastatin 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404013",
    "drug_name": "Amlodipine 10 MG / atorvastatin 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404058",
    "drug_name": "Isotretinoin 10 MG Oral Capsule [Amnesteem]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404059",
    "drug_name": "Isotretinoin 10 MG Oral Capsule [Claravis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404061",
    "drug_name": "Isotretinoin 20 MG Oral Capsule [Amnesteem]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404062",
    "drug_name": "Isotretinoin 20 MG Oral Capsule [Claravis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404064",
    "drug_name": "Isotretinoin 40 MG Oral Capsule [Amnesteem]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404065",
    "drug_name": "Isotretinoin 40 MG Oral Capsule [Claravis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404448",
    "drug_name": "84 HR oxybutynin 0.162 MG/HR Transdermal System [Oxytrol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404449",
    "drug_name": "Thalidomide 100 MG Oral Capsule [Thalomid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404457",
    "drug_name": "pegvisomant 10 MG Injection [Somavert]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404458",
    "drug_name": "pegvisomant 15 MG Injection [Somavert]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404459",
    "drug_name": "pegvisomant 20 MG Injection [Somavert]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "404742",
    "drug_name": "12 HR Carbamazepine 100 MG Extended Release Oral Capsule [Carbatrol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "406503",
    "drug_name": "Doxercalciferol 0.0005 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "406524",
    "drug_name": "doxycycline hyclate 75 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "409823",
    "drug_name": "Cefixime 400 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "419849",
    "drug_name": "Cefixime 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "422410",
    "drug_name": "Midazolam 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "422434",
    "drug_name": "Nitrofurantoin 10 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "427163",
    "drug_name": "nitazoxanide 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "429212",
    "drug_name": "Clozapine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "429503",
    "drug_name": "Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "430551",
    "drug_name": "benznidazole 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "430902",
    "drug_name": "Baclofen 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "432400",
    "drug_name": "cinacalcet 90 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "432401",
    "drug_name": "cinacalcet 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "432402",
    "drug_name": "cinacalcet 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "433798",
    "drug_name": "24 HR Alprazolam 0.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "433799",
    "drug_name": "24 HR Alprazolam 2 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "433800",
    "drug_name": "24 HR Alprazolam 1 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "433801",
    "drug_name": "24 HR Alprazolam 3 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "434018",
    "drug_name": "doxycycline hyclate 100 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "465355",
    "drug_name": "voriconazole 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476177",
    "drug_name": "Clozapine 100 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476179",
    "drug_name": "Clozapine 25 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476271",
    "drug_name": "6-Aminocaproic Acid 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476345",
    "drug_name": "ezetimibe 10 MG / Simvastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476349",
    "drug_name": "ezetimibe 10 MG / Simvastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476350",
    "drug_name": "ezetimibe 10 MG / Simvastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476351",
    "drug_name": "ezetimibe 10 MG / Simvastatin 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476362",
    "drug_name": "mesalamine 500 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476399",
    "drug_name": "Carbidopa 25 MG / Levodopa 100 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476515",
    "drug_name": "Carbidopa 25 MG / Levodopa 250 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476556",
    "drug_name": "emtricitabine 200 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476576",
    "drug_name": "cefdinir 50 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "476809",
    "drug_name": "Mirtazapine 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477130",
    "drug_name": "Hydrochlorothiazide 25 MG / telmisartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477234",
    "drug_name": "Tinidazole 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477347",
    "drug_name": "lanthanum carbonate 500 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477367",
    "drug_name": "Solifenacin Succinate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477372",
    "drug_name": "Solifenacin Succinate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477391",
    "drug_name": "Levofloxacin 25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477451",
    "drug_name": "Clindamycin 10 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477560",
    "drug_name": "Fenofibrate 145 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "477562",
    "drug_name": "Fenofibrate 48 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483090",
    "drug_name": "Carbidopa 10 MG / Levodopa 100 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483325",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483425",
    "drug_name": "Fenofibrate 130 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483427",
    "drug_name": "Fenofibrate 43 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483438",
    "drug_name": "pregabalin 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483440",
    "drug_name": "pregabalin 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483442",
    "drug_name": "pregabalin 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483444",
    "drug_name": "pregabalin 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483446",
    "drug_name": "pregabalin 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483448",
    "drug_name": "pregabalin 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "483450",
    "drug_name": "pregabalin 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "484814",
    "drug_name": "tadalafil 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485020",
    "drug_name": "Mycophenolic Acid 180 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485023",
    "drug_name": "Mycophenolic Acid 360 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485413",
    "drug_name": "Alprazolam 0.25 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485414",
    "drug_name": "Alprazolam 1 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485415",
    "drug_name": "Alprazolam 0.5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485416",
    "drug_name": "Alprazolam 2 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485421",
    "drug_name": "24 HR darifenacin 15 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485423",
    "drug_name": "24 HR darifenacin 7.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485434",
    "drug_name": "entecavir 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485436",
    "drug_name": "entecavir 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485440",
    "drug_name": "Eszopiclone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485442",
    "drug_name": "Eszopiclone 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485465",
    "drug_name": "Eszopiclone 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485484",
    "drug_name": "tizanidine 6 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485485",
    "drug_name": "tizanidine 4 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485486",
    "drug_name": "tizanidine 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485489",
    "drug_name": "Temazepam 22.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485496",
    "drug_name": "aripiprazole 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "485647",
    "drug_name": "Fluocinonide 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "486146",
    "drug_name": "24 HR Nitroglycerin 0.6 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "486148",
    "drug_name": "24 HR Nitroglycerin 0.2 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "486152",
    "drug_name": "24 HR Nitroglycerin 0.4 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "539789",
    "drug_name": "rifaximin 200 MG Oral Tablet [XIFAXAN]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "541363",
    "drug_name": "Amphetamine aspartate 7.5 MG / Amphetamine Sulfate 7.5 MG / Dextroamphetamine saccharate 7.5 MG / Dextroamphetamine Sulfate 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "541524",
    "drug_name": "Methyltestosterone 10 MG Oral Tablet [Methitest]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "541878",
    "drug_name": "Amphetamine aspartate 1.25 MG / Amphetamine Sulfate 1.25 MG / Dextroamphetamine saccharate 1.25 MG /Dextroamphetamine Sulfate 1.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "541892",
    "drug_name": "Amphetamine aspartate 2.5 MG / Amphetamine Sulfate 2.5 MG / Dextroamphetamine saccharate 2.5 MG / Dextroamphetamine Sulfate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "542370",
    "drug_name": "Nelfinavir 625 MG Oral Tablet [Viracept]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "543546",
    "drug_name": "Nystatin 100000 UNT/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "544452",
    "drug_name": "Lactulose 667 MG/ML Oral Solution [Constulose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "544455",
    "drug_name": "Lactulose 667 MG/ML Oral Solution [Generlac]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "545118",
    "drug_name": "Levofloxacin 15 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "545255",
    "drug_name": "loteprednol etabonate 5 MG/ML / Tobramycin 3 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "545259",
    "drug_name": "loteprednol etabonate 5 MG/ML / Tobramycin 3 MG/ML Ophthalmic Suspension [Zylet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "545276",
    "drug_name": "168 HR Estradiol 0.000583 MG/HR Transdermal System [Menostar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "545835",
    "drug_name": "Leuprolide Acetate 5 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562251",
    "drug_name": "Amoxicillin 250 MG / Clavulanate 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562266",
    "drug_name": "Clindamycin 15 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562508",
    "drug_name": "Amoxicillin 875 MG / Clavulanate 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562524",
    "drug_name": "12 HR Acetazolamide 500 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562704",
    "drug_name": "ropinirole 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562806",
    "drug_name": "Pimecrolimus 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "562847",
    "drug_name": "Betaine 1000 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577033",
    "drug_name": "sildenafil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577057",
    "drug_name": "72 HR Fentanyl 0.012 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577080",
    "drug_name": "desloratadine 2.5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577127",
    "drug_name": "pregabalin 225 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577154",
    "drug_name": "Megestrol Acetate 125 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577208",
    "drug_name": "Omega-3 Acid Ethyl Esters (USP) 1000 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577237",
    "drug_name": "Metronidazole 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577315",
    "drug_name": "paricalcitol 0.001 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577317",
    "drug_name": "paricalcitol 0.002 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577324",
    "drug_name": "paricalcitol 0.004 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577348",
    "drug_name": "ramelteon 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577776",
    "drug_name": "candesartan cilexetil 16 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577957",
    "drug_name": "Amphetamine aspartate 3.75 MG / Amphetamine Sulfate 3.75 MG / Dextroamphetamine saccharate 3.75 MG /Dextroamphetamine Sulfate 3.75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "577961",
    "drug_name": "Amphetamine aspartate 5 MG / Amphetamine Sulfate 5 MG / Dextroamphetamine saccharate 5 MG / Dextroamphetamine Sulfate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "578018",
    "drug_name": "bromfenac 0.9 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "578325",
    "drug_name": "candesartan cilexetil 16 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "578330",
    "drug_name": "candesartan cilexetil 32 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "579148",
    "drug_name": "Galantamine 12 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "580261",
    "drug_name": "tiotropium 0.018 MG Inhalation Powder [Spiriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "580294",
    "drug_name": "sertaconazole 20 MG/ML Topical Cream [Ertaczo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "582299",
    "drug_name": "6-Aminocaproic Acid 250 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "582926",
    "drug_name": "podofilox 5 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "583170",
    "drug_name": "Salsalate 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "596926",
    "drug_name": "duloxetine 20 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "596930",
    "drug_name": "duloxetine 30 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "596934",
    "drug_name": "duloxetine 60 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597406",
    "drug_name": "meloxicam 1.5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597730",
    "drug_name": "lopinavir 200 MG / Ritonavir 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597747",
    "drug_name": "sorafenib 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597768",
    "drug_name": "deferasirox 125 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597770",
    "drug_name": "deferasirox 250 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597772",
    "drug_name": "deferasirox 500 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597850",
    "drug_name": "anagrelide 0.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597852",
    "drug_name": "anagrelide 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597967",
    "drug_name": "Amlodipine 10 MG / atorvastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597971",
    "drug_name": "Amlodipine 2.5 MG / atorvastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597974",
    "drug_name": "Amlodipine 2.5 MG / atorvastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597977",
    "drug_name": "Amlodipine 5 MG / atorvastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597980",
    "drug_name": "Amlodipine 5 MG / atorvastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597984",
    "drug_name": "Amlodipine 5 MG / atorvastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597987",
    "drug_name": "Amlodipine 10 MG / atorvastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597990",
    "drug_name": "Amlodipine 10 MG / atorvastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "597993",
    "drug_name": "Amlodipine 2.5 MG / atorvastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "598006",
    "drug_name": "Erythromycin 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "598025",
    "drug_name": "Amoxicillin 250 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "602393",
    "drug_name": "abacavir 600 MG / Lamivudine 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "602427",
    "drug_name": "Clindamycin 20 MG/ML Vaginal Cream [Clindesse]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "602635",
    "drug_name": "lanthanum carbonate 1000 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "602910",
    "drug_name": "lenalidomide 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "602912",
    "drug_name": "lenalidomide 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "602964",
    "drug_name": "aripiprazole 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "603103",
    "drug_name": "Naproxen 375 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "603203",
    "drug_name": "erlotinib 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "603206",
    "drug_name": "erlotinib 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "603208",
    "drug_name": "erlotinib 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "603378",
    "drug_name": "tipranavir 250 MG Oral Capsule [Aptivus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "603978",
    "drug_name": "nepafenac 1 MG/ML Ophthalmic Suspension [Nevanac]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "606730",
    "drug_name": "Esomeprazole 40 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "607295",
    "drug_name": "Dapsone 0.05 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "608139",
    "drug_name": "atomoxetine 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "608143",
    "drug_name": "atomoxetine 80 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "608328",
    "drug_name": "rasagiline 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "615882",
    "drug_name": "mecasermin 10 MG/ML Injectable Solution [Increlex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616114",
    "drug_name": "lenalidomide 10 MG Oral Capsule [Revlimid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616116",
    "drug_name": "lenalidomide 5 MG Oral Capsule [Revlimid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616148",
    "drug_name": "emtricitabine 10 MG/ML Oral Solution [Emtriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616279",
    "drug_name": "sunitinib 12.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616285",
    "drug_name": "sunitinib 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616289",
    "drug_name": "sunitinib 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616402",
    "drug_name": "duloxetine 40 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616483",
    "drug_name": "quetiapine 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616487",
    "drug_name": "quetiapine 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616541",
    "drug_name": "Omeprazole 40 MG / Sodium Bicarbonate 1100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616578",
    "drug_name": "lubiprostone 0.024 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616698",
    "drug_name": "Risperidone 3 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616705",
    "drug_name": "Risperidone 4 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616749",
    "drug_name": "12 HR ranolazine 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616852",
    "drug_name": "Fenofibrate 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "616853",
    "drug_name": "Fenofibrate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617296",
    "drug_name": "Amoxicillin 500 MG / Clavulanate 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617310",
    "drug_name": "atorvastatin 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617311",
    "drug_name": "atorvastatin 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617312",
    "drug_name": "atorvastatin 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617322",
    "drug_name": "Amoxicillin 50 MG/ML / Clavulanate 12.5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617423",
    "drug_name": "Amoxicillin 40 MG/ML / Clavulanate 5.7 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617430",
    "drug_name": "Amoxicillin 80 MG/ML / Clavulanate 11.4 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617993",
    "drug_name": "Amoxicillin 120 MG/ML / Clavulanate 8.58 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "617995",
    "drug_name": "12 HR Amoxicillin 1000 MG / Clavulanate 62.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "618552",
    "drug_name": "Meclofenamate 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "618557",
    "drug_name": "Meclofenamate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "628953",
    "drug_name": "Potassium Chloride 10 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "628958",
    "drug_name": "Potassium Chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "629695",
    "drug_name": "24 HR Minocycline 135 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "629697",
    "drug_name": "24 HR Minocycline 45 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "629699",
    "drug_name": "24 HR Minocycline 90 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "630208",
    "drug_name": "Albuterol 0.83 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "630734",
    "drug_name": "drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "636042",
    "drug_name": "Hydrochlorothiazide 12.5 MG / valsartan 320 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "636045",
    "drug_name": "Hydrochlorothiazide 25 MG / valsartan 320 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "636664",
    "drug_name": "rasagiline 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "636671",
    "drug_name": "varenicline 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "636676",
    "drug_name": "varenicline 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "637173",
    "drug_name": "Cephalexin 750 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "639537",
    "drug_name": "candesartan cilexetil 32 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "642452",
    "drug_name": "lanthanum carbonate 750 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643019",
    "drug_name": "aripiprazole 10 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643022",
    "drug_name": "aripiprazole 15 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643066",
    "drug_name": "efavirenz 600 MG / emtricitabine 200 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643105",
    "drug_name": "dasatinib 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643107",
    "drug_name": "dasatinib 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643109",
    "drug_name": "dasatinib 70 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643123",
    "drug_name": "prednisolone 10 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643125",
    "drug_name": "prednisolone 15 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643127",
    "drug_name": "prednisolone 30 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643488",
    "drug_name": "Isotretinoin 30 MG Oral Capsule [Claravis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643712",
    "drug_name": "lenalidomide 15 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643714",
    "drug_name": "lenalidomide 15 MG Oral Capsule [Revlimid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643720",
    "drug_name": "lenalidomide 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "643722",
    "drug_name": "lenalidomide 25 MG Oral Capsule [Revlimid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "644088",
    "drug_name": "aprepitant 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "644304",
    "drug_name": "Tamoxifen 2 MG/ML Oral Solution [Soltamox]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "645037",
    "drug_name": "Risperidone 0.25 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "645884",
    "drug_name": "Somatropin 5 MG/ML Injectable Solution [Omnitrope]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "646456",
    "drug_name": "Nystatin 100 UNT/MG Topical Powder",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "647237",
    "drug_name": "glimepiride 2 MG / pioglitazone 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "647239",
    "drug_name": "glimepiride 4 MG / pioglitazone 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "656659",
    "drug_name": "bosentan 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "656742",
    "drug_name": "potassium phosphate 155 MG / Sodium Phosphate, Dibasic 852 MG / Sodium Phosphate, Monobasic 130 MG Oral Tablet [Phospha 250 Neutral]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "664741",
    "drug_name": "Atazanavir 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "665019",
    "drug_name": "posaconazole 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "665036",
    "drug_name": "sitagliptin phosphate 100 MG Oral Tablet [Januvia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "665040",
    "drug_name": "sitagliptin phosphate 25 MG Oral Tablet [Januvia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "665044",
    "drug_name": "sitagliptin phosphate 50 MG Oral Tablet [Januvia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "668606",
    "drug_name": "Vorinostat 100 MG Oral Capsule [Zolinza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "668956",
    "drug_name": "arformoterol 0.0075 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "669081",
    "drug_name": "Desonide 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "670026",
    "drug_name": "darunavir 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "672149",
    "drug_name": "lapatinib 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "672567",
    "drug_name": "24 HR paliperidone 3 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "672569",
    "drug_name": "24 HR paliperidone 6 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "672571",
    "drug_name": "24 HR paliperidone 9 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "686379",
    "drug_name": "celecoxib 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "686400",
    "drug_name": "Erythromycin Ethylsuccinate 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "686405",
    "drug_name": "Erythromycin Ethylsuccinate 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "686418",
    "drug_name": "Erythromycin Ethylsuccinate 80 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "686429",
    "drug_name": "mesalamine 1200 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "686924",
    "drug_name": "carvedilol 3.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "687043",
    "drug_name": "Amphetamine aspartate 3.125 MG / Amphetamine Sulfate 3.125 MG / Dextroamphetamine saccharate 3.125 MG / Dextroamphetamine Sulfate 3.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "687231",
    "drug_name": "Bismuth biskalcitrate 140 MG / Metronidazole 125 MG / Tetracycline 125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "688242",
    "drug_name": "Estrogens, Conjugated (USP) 0.625 MG/ML Vaginal Cream [Premarin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "692576",
    "drug_name": "Esomeprazole 20 MG Granules for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "692578",
    "drug_name": "Esomeprazole 40 MG Granules for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "700408",
    "drug_name": "Doxycycline Monohydrate 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "700883",
    "drug_name": "temozolomide 140 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "700885",
    "drug_name": "temozolomide 180 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "702246",
    "drug_name": "Iron Carbonyl 12 MG/ML Oral Suspension [Icar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "702306",
    "drug_name": "prednisolone 4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "702519",
    "drug_name": "Phenobarbital 4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "705129",
    "drug_name": "Nitroglycerin 0.4 MG/ACTUAT Mucosal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "706872",
    "drug_name": "Azithromycin 10 MG/ML Ophthalmic Solution [AzaSite]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "706943",
    "drug_name": "Sodium Chloride 70 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "721773",
    "drug_name": "Clozapine 12.5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "721787",
    "drug_name": "Fluoxetine 25 MG / olanzapine 3 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "721791",
    "drug_name": "24 HR quetiapine 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "721794",
    "drug_name": "24 HR quetiapine 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "721796",
    "drug_name": "24 HR quetiapine 400 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722111",
    "drug_name": "adapalene 0.003 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722116",
    "drug_name": "ambrisentan 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722122",
    "drug_name": "ambrisentan 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722126",
    "drug_name": "Amlodipine 10 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722131",
    "drug_name": "Amlodipine 10 MG / valsartan 320 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722134",
    "drug_name": "Amlodipine 5 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722137",
    "drug_name": "Amlodipine 5 MG / valsartan 320 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722152",
    "drug_name": "Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.09 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "722256",
    "drug_name": "24 HR Rotigotine 0.0833 MG/HR Transdermal System [Neupro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724142",
    "drug_name": "24 HR Rotigotine 0.167 MG/HR Transdermal System [Neupro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724156",
    "drug_name": "24 HR Rotigotine 0.25 MG/HR Transdermal System [Neupro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724590",
    "drug_name": "Sodium Chloride 30 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724592",
    "drug_name": "Sodium Chloride 100 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724859",
    "drug_name": "armodafinil 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724861",
    "drug_name": "armodafinil 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "724863",
    "drug_name": "armodafinil 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "725021",
    "drug_name": "24 HR rivastigmine 0.192 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "725023",
    "drug_name": "24 HR rivastigmine 0.396 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "725094",
    "drug_name": "Progesterone 100 MG Vaginal Insert",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "725098",
    "drug_name": "Progesterone 100 MG Vaginal Insert [Endometrin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "727316",
    "drug_name": "NDA019430 0.3 ML Epinephrine 0.5 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "727714",
    "drug_name": "0.67 ML anakinra 149 MG/ML Prefilled Syringe [Kineret]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "727816",
    "drug_name": "0.5 ML Interferon beta-1a 0.06 MG/ML Prefilled Syringe [Avonex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728109",
    "drug_name": "Oseltamivir 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728113",
    "drug_name": "Oseltamivir 45 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728122",
    "drug_name": "Estradiol 1.53 MG/ACTUAT Topical Spray [Evamist]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728207",
    "drug_name": "Doxycycline Monohydrate 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728223",
    "drug_name": "maraviroc 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728225",
    "drug_name": "maraviroc 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728231",
    "drug_name": "12 HR ranolazine 1000 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "728550",
    "drug_name": "Ketoconazole 20 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730794",
    "drug_name": "Carisoprodol 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730834",
    "drug_name": "12 HR zileuton 600 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730861",
    "drug_name": "Amlodipine 10 MG / Olmesartan medoxomil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730866",
    "drug_name": "Amlodipine 10 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730869",
    "drug_name": "Amlodipine 5 MG / Olmesartan medoxomil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730872",
    "drug_name": "Amlodipine 5 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "730988",
    "drug_name": "Carbidopa 50 MG / entacapone 200 MG / Levodopa 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "731328",
    "drug_name": "0.5 ML peginterferon alfa-2a 0.36 MG/ML Prefilled Syringe [Pegasys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "744846",
    "drug_name": "Raltegravir 400 MG Oral Tablet [ISENTRESS]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "745791",
    "drug_name": "200 ACTUAT Levalbuterol 0.045 MG/ACTUAT Metered Dose Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "746606",
    "drug_name": "nilotinib 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "746645",
    "drug_name": "lopinavir 100 MG / Ritonavir 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748738",
    "drug_name": "Topotecan 0.25 MG Oral Capsule [Hycamtin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748740",
    "drug_name": "Topotecan 1 MG Oral Capsule [Hycamtin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748798",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 4 (Inert Ingredients 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748800",
    "drug_name": "{21 (drospirenone 3 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748832",
    "drug_name": "{6 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.05 MG Oral Tablet) / 10 (Ethinyl Estradiol 0.03 MG/ Levonorgestrel 0.125 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.04 MG / Levonorgestrel 0.075 MG Oral",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748859",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Ethynodiol Diacetate 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MGOral Tablet) } Pack [Zovia 1/35E 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748865",
    "drug_name": "{6 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.05 MG Oral Tablet) / 10 (Ethinyl Estradiol 0.03 MG/ Levonorgestrel 0.125 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.04 MG / Levonorgestrel 0.075 MG Oral",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748868",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748878",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748879",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Levora 0.15/30 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748961",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748962",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Camila 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "748977",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Nora-BE 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749157",
    "drug_name": "{7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749196",
    "drug_name": "clopidogrel 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749206",
    "drug_name": "sevelamer carbonate 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749289",
    "drug_name": "{11 (varenicline 0.5 MG Oral Tablet) / 42 (varenicline 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749761",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MGOral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749780",
    "drug_name": "{3 (Azithromycin 500 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749783",
    "drug_name": "{6 (Azithromycin 250 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749784",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749788",
    "drug_name": "{56 (varenicline 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749795",
    "drug_name": "Aspirin 81 MG Delayed Release Oral Tablet [St. Joseph Aspirin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749802",
    "drug_name": "Fenofibrate 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749804",
    "drug_name": "Fenofibrate 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "749860",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "750244",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Norgestrel 0.3 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Low-Ogestrel 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "750265",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Norgestrel 0.3 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Cryselle 28]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "750267",
    "drug_name": "{12 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 9 (Ethinyl Estradiol 0.035 MG/ Norethindrone 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Aranelle 28]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "750268",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Aviane 28]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751139",
    "drug_name": "{35 (lamotrigine 25 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751553",
    "drug_name": "{28 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.09 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751563",
    "drug_name": "{7 (lamotrigine 100 MG Oral Tablet) / 42 (lamotrigine 25 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751566",
    "drug_name": "Somatropin 8 MG/ML Injectable Solution [Serostim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751568",
    "drug_name": "Somatropin 5 MG Injection [Serostim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751570",
    "drug_name": "Somatropin 6 MG Injection [Serostim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751612",
    "drug_name": "nebivolol 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751618",
    "drug_name": "nebivolol 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751868",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Nortrel 0.5/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751870",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Nortrel 1/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751871",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet) } Pack [Nortrel 1/35 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751875",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Necon 0.5/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751879",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Necon 1/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751885",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Lessina 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751890",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Portia 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751901",
    "drug_name": "{84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751905",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "751970",
    "drug_name": "0.5 ML Interferon gamma-1b 0.2 MG/ML Injection [Actimmune]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "752388",
    "drug_name": "Insulin Lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Injectable Suspension [HumalogMix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753436",
    "drug_name": "9 HR Methylphenidate 1.11 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753438",
    "drug_name": "9 HR Methylphenidate 1.67 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753440",
    "drug_name": "9 HR Methylphenidate 2.22 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753441",
    "drug_name": "9 HR Methylphenidate 3.33 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753451",
    "drug_name": "{14 (lamotrigine 100 MG Oral Tablet) / 84 (lamotrigine 25 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753481",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Sprintec 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753482",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Apri 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753483",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Ethynodiol Diacetate 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MGOral Tablet) } Pack [Kelnor 1/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753543",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Reclipsen 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753544",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Sronyx 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "753990",
    "drug_name": "Follicle Stimulating Hormone 75 UNT / Luteinizing Hormone 75 UNT Injection [Menopur]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "754761",
    "drug_name": "etravirine 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "755470",
    "drug_name": "Lactulose 667 MG/ML Oral Solution [Enulose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "755497",
    "drug_name": "Albuterol 0.4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "756059",
    "drug_name": "lithium citrate 60 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "756226",
    "drug_name": "Theophylline 5.33 MG/ML Oral Solution [Elixophyllin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "757460",
    "drug_name": "{31 (Doxycycline Monohydrate 100 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "757466",
    "drug_name": "{60 (Doxycycline Monohydrate 100 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "757707",
    "drug_name": "tadalafil 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "757968",
    "drug_name": "{4 (Amoxicillin 500 MG Oral Capsule) / 2 (Clarithromycin 500 MG Oral Tablet) / 2 (lansoprazole 30 MGDelayed Release Oral Capsule) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "758027",
    "drug_name": "0.5 ML Interferon beta-1a 0.088 MG/ML Prefilled Syringe [Rebif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "758032",
    "drug_name": "0.5 ML Interferon beta-1a 0.044 MG/ML Prefilled Syringe [Rebif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "759473",
    "drug_name": "20 ACTUAT Zanamivir 5 MG/ACTUAT Dry Powder Inhaler [Relenza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "759481",
    "drug_name": "{51 (Dexamethasone 1.5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "759697",
    "drug_name": "{35 (Dexamethasone 1.5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "759743",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "762001",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack [Kariva 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "762007",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /Norethindrone 0.75 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "762333",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "762334",
    "drug_name": "{7 (Desogestrel 0.1 MG / Ethinyl Estradiol 0.025 MG Oral Tablet) / 7 (Desogestrel 0.125 MG / EthinylEstradiol 0.025 MG Oral Tablet) / 7 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.025 MG Oral Tablet)",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "762663",
    "drug_name": "{84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Jolessa 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "762675",
    "drug_name": "{21 (Methylprednisolone 4 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763179",
    "drug_name": "{48 (Prednisone 5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763181",
    "drug_name": "{21 (Prednisone 5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763183",
    "drug_name": "{48 (Prednisone 10 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763185",
    "drug_name": "{21 (Prednisone 10 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2026,
          2027,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763306",
    "drug_name": "pantoprazole 40 MG Oral Granules",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763457",
    "drug_name": "rilonacept 220 MG Injection [Arcalyst]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763472",
    "drug_name": "0.5 ML Alprostadil 0.02 MG/ML Prefilled Syringe [Caverject]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763474",
    "drug_name": "0.5 ML Alprostadil 0.04 MG/ML Prefilled Syringe [Caverject]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763519",
    "drug_name": "24 HR Nisoldipine 17 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "763589",
    "drug_name": "24 HR Nisoldipine 34 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "790264",
    "drug_name": "24 HR Desvenlafaxine 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "790288",
    "drug_name": "24 HR Desvenlafaxine 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "790489",
    "drug_name": "24 HR Nisoldipine 8.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "793741",
    "drug_name": "Sodium polystyrene sulfonate 250 MG/ML Oral Suspension [Kionex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "794229",
    "drug_name": "Aspirin 81 MG Delayed Release Oral Tablet [Bayer Aspirin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "794639",
    "drug_name": "lubiprostone 0.008 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "794979",
    "drug_name": "prednisolone 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "795085",
    "drug_name": "certolizumab pegol 200 MG Injection [Cimzia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "795737",
    "drug_name": "{11 (varenicline 0.5 MG Oral Tablet [Chantix]) / 42 (varenicline 1 MG Oral Tablet [Chantix]) } Pack[Chantix First Month of Therapy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "795749",
    "drug_name": "{6 (0.2 ML Interferon beta-1a 0.044 MG/ML Prefilled Syringe [Rebif]) / 6 (0.5 ML Interferon beta-1a0.044 MG/ML Prefilled Syringe [Rebif]) } Pack [Rebif Titration]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "795918",
    "drug_name": "Sinecatechins 0.15 MG/MG Topical Ointment [Veregen]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "797061",
    "drug_name": "Omeprazole 10 MG Granules for Oral Suspension [Prilosec]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "797065",
    "drug_name": "Omeprazole 2.5 MG Granules for Oral Suspension [Prilosec]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "797274",
    "drug_name": "Clindamycin 10 MG/ML Medicated Pad",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "798133",
    "drug_name": "Erythromycin 20 MG/ML Medicated Pad [Ery]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "799047",
    "drug_name": "dasatinib 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "799048",
    "drug_name": "doxycycline hyclate 150 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "799054",
    "drug_name": "24 HR ropinirole 8 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "799055",
    "drug_name": "24 HR ropinirole 2 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "799056",
    "drug_name": "24 HR ropinirole 4 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "800915",
    "drug_name": "Ascorbic Acid 4700 MG / POLYETHYLENE GLYCOL 3350 100000 MG / Potassium Chloride 1015 MG / Sodium Ascorbate 5900 MG / Sodium Chloride 2690 MG / sodium sulfate 7500 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "801054",
    "drug_name": "POLYETHYLENE GLYCOL 3350 420000 MG / Potassium Chloride 1480 MG / Sodium Bicarbonate 5720 MG / Sodium Chloride 11200 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "801092",
    "drug_name": "NDA020983 60 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "801957",
    "drug_name": "0.5 ML Diazepam 5 MG/ML Rectal Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "801961",
    "drug_name": "2 ML Diazepam 5 MG/ML Rectal Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "801966",
    "drug_name": "4 ML Diazepam 5 MG/ML Rectal Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "802652",
    "drug_name": "1 ML Etanercept 50 MG/ML Prefilled Syringe [Enbrel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "802749",
    "drug_name": "candesartan cilexetil 32 MG / Hydrochlorothiazide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "803194",
    "drug_name": "insulin glulisine, human 100 UNT/ML Injectable Solution [Apidra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "804544",
    "drug_name": "difluprednate 0.5 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "805464",
    "drug_name": "Tetrabenazine 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "807832",
    "drug_name": "24 HR Levetiracetam 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "808744",
    "drug_name": "24 HR venlafaxine 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "808748",
    "drug_name": "24 HR venlafaxine 225 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "808751",
    "drug_name": "24 HR venlafaxine 37.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "808753",
    "drug_name": "24 HR venlafaxine 75 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "808917",
    "drug_name": "fosfomycin 3000 MG Granules for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "809159",
    "drug_name": "0.5 ML Etanercept 50 MG/ML Prefilled Syringe [Enbrel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "809477",
    "drug_name": "silodosin 8 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "809987",
    "drug_name": "lacosamide 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "809992",
    "drug_name": "lacosamide 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "809996",
    "drug_name": "lacosamide 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "810000",
    "drug_name": "lacosamide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "810071",
    "drug_name": "24 HR Fesoterodine Fumarate 4 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "810077",
    "drug_name": "24 HR Fesoterodine Fumarate 8 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "810083",
    "drug_name": "Carbidopa 31.25 MG / entacapone 200 MG / Levodopa 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "810090",
    "drug_name": "Carbidopa 18.75 MG / entacapone 200 MG / Levodopa 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "810096",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "824295",
    "drug_name": "rufinamide 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "824301",
    "drug_name": "rufinamide 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "824959",
    "drug_name": "24 HR ropinirole 12 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825005",
    "drug_name": "168 HR Granisetron 0.129 MG/HR Transdermal System [Sancuso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825130",
    "drug_name": "24 HR mesalamine 375 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825409",
    "drug_name": "tapentadol 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825411",
    "drug_name": "tapentadol 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825413",
    "drug_name": "tapentadol 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825421",
    "drug_name": "eltrombopag 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "825427",
    "drug_name": "eltrombopag 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "826612",
    "drug_name": "silodosin 4 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "826865",
    "drug_name": "Ascorbic Acid 60 MG / Biotin 0.3 MG / Ferrous fumarate 29 MG / Folic Acid 0.8 MG / mecobalamin 0.006MG / Niacinamide 20 MG / pantothenate 10 MG / pyridoxine 10 MG / Riboflavin 1.7 MG / Thiamine 1.5 M",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "827073",
    "drug_name": "nebivolol 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "828248",
    "drug_name": "cortisone acetate 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "828299",
    "drug_name": "Cyclobenzaprine hydrochloride 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "828320",
    "drug_name": "Cyclobenzaprine hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "828348",
    "drug_name": "Cyclobenzaprine hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "828364",
    "drug_name": "hydrocortisone acetate 10 MG/ML / Pramoxine hydrochloride 10 MG/ML Rectal Foam [Proctofoam-HC]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "829500",
    "drug_name": "Mefenamic Acid 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "829539",
    "drug_name": "adapalene 0.001 MG/MG / Benzoyl Peroxide 0.025 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830196",
    "drug_name": "opium tincture 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830795",
    "drug_name": "24 HR Diltiazem Hydrochloride 360 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830801",
    "drug_name": "24 HR Diltiazem Hydrochloride 300 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830837",
    "drug_name": "24 HR Diltiazem Hydrochloride 240 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830845",
    "drug_name": "24 HR Diltiazem Hydrochloride 180 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830861",
    "drug_name": "24 HR Diltiazem Hydrochloride 120 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830865",
    "drug_name": "12 HR Diltiazem Hydrochloride 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830869",
    "drug_name": "12 HR Diltiazem Hydrochloride 90 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830872",
    "drug_name": "12 HR Diltiazem Hydrochloride 120 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830874",
    "drug_name": "24 HR Diltiazem Hydrochloride 120 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830877",
    "drug_name": "24 HR Diltiazem Hydrochloride 180 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830879",
    "drug_name": "24 HR Diltiazem Hydrochloride 240 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830882",
    "drug_name": "24 HR Diltiazem Hydrochloride 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830897",
    "drug_name": "24 HR Diltiazem Hydrochloride 360 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "830900",
    "drug_name": "24 HR Diltiazem Hydrochloride 420 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831054",
    "drug_name": "Diltiazem Hydrochloride 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831102",
    "drug_name": "Diltiazem Hydrochloride 90 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831103",
    "drug_name": "Diltiazem Hydrochloride 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831109",
    "drug_name": "Cromolyn Sodium 40 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831215",
    "drug_name": "24 HR Diltiazem Hydrochloride 120 MG Extended Release Oral Capsule [Dilt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831226",
    "drug_name": "24 HR Diltiazem Hydrochloride 120 MG Extended Release Oral Capsule [Cartia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831246",
    "drug_name": "Cromolyn Sodium 10 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831252",
    "drug_name": "24 HR Diltiazem Hydrochloride 180 MG Extended Release Oral Capsule [Dilt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831255",
    "drug_name": "24 HR Diltiazem Hydrochloride 180 MG Extended Release Oral Capsule [Cartia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831261",
    "drug_name": "Cromolyn Sodium 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831285",
    "drug_name": "24 HR Diltiazem Hydrochloride 240 MG Extended Release Oral Capsule [Dilt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831309",
    "drug_name": "24 HR Diltiazem Hydrochloride 240 MG Extended Release Oral Capsule [Cartia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831338",
    "drug_name": "24 HR Diltiazem Hydrochloride 300 MG Extended Release Oral Capsule [Cartia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831359",
    "drug_name": "24 HR Diltiazem Hydrochloride 420 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831391",
    "drug_name": "Miconazole Nitrate 0.0025 MG/MG / Petrolatum 0.814 MG/MG / Zinc Oxide 0.15 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831393",
    "drug_name": "Miconazole Nitrate 0.0025 MG/MG / Petrolatum 0.814 MG/MG / Zinc Oxide 0.15 MG/MG Topical Ointment [Vusion]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831533",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Errin 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831870",
    "drug_name": "darunavir 75 MG Oral Tablet [Prezista]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "831872",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack [Azurette 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "832718",
    "drug_name": "Potassium Chloride 8 MEQ Extended Release Oral Tablet [Klor-Con]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "832731",
    "drug_name": "Microencapsulated Potassium Chloride 15 MEQ Extended Release Oral Tablet [Klor-Con]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833008",
    "drug_name": "Desmopressin Acetate 0.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833135",
    "drug_name": "Milnacipran hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833139",
    "drug_name": "Milnacipran hydrochloride 100 MG Oral Tablet [Savella]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833141",
    "drug_name": "Milnacipran hydrochloride 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833143",
    "drug_name": "Milnacipran hydrochloride 12.5 MG Oral Tablet [Savella]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833144",
    "drug_name": "Milnacipran hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833146",
    "drug_name": "Milnacipran hydrochloride 50 MG Oral Tablet [Savella]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833147",
    "drug_name": "Milnacipran hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833149",
    "drug_name": "Milnacipran hydrochloride 25 MG Oral Tablet [Savella]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833150",
    "drug_name": "{5 (Milnacipran hydrochloride 12.5 MG Oral Tablet) / 8 (Milnacipran hydrochloride 25 MG Oral Tablet)/ 42 (Milnacipran hydrochloride 50 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833151",
    "drug_name": "{5 (Milnacipran hydrochloride 12.5 MG Oral Tablet [Savella]) / 8 (Milnacipran hydrochloride 25 MG Oral Tablet [Savella]) / 42 (Milnacipran hydrochloride 50 MG Oral Tablet [Savella]) } Pack [Savella 4-",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833204",
    "drug_name": "dexlansoprazole 30 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833213",
    "drug_name": "dexlansoprazole 60 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833217",
    "drug_name": "Diltiazem Hydrochloride 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833234",
    "drug_name": "mesalamine 800 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833461",
    "drug_name": "Betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833463",
    "drug_name": "Betamethasone 0.5 MG/ML / calcipotriene 0.05 MG/ML Topical Lotion [Taclonex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833528",
    "drug_name": "Amiodarone hydrochloride 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833709",
    "drug_name": "24 HR tramadol hydrochloride 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833711",
    "drug_name": "24 HR tramadol hydrochloride 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "833713",
    "drug_name": "24 HR tramadol hydrochloride 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834022",
    "drug_name": "Ketorolac Tromethamine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834040",
    "drug_name": "Penicillin V Potassium 50 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834046",
    "drug_name": "Penicillin V Potassium 25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834061",
    "drug_name": "Penicillin V Potassium 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834102",
    "drug_name": "Penicillin V Potassium 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834127",
    "drug_name": "chlorhexidine gluconate 1.2 MG/ML Mouthwash",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834137",
    "drug_name": "chlorhexidine gluconate 1.2 MG/ML Mouthwash [Periogard]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834235",
    "drug_name": "febuxostat 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834241",
    "drug_name": "febuxostat 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "834348",
    "drug_name": "Amiodarone hydrochloride 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835564",
    "drug_name": "Imipramine Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835568",
    "drug_name": "Imipramine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835572",
    "drug_name": "Imipramine pamoate 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835577",
    "drug_name": "Imipramine pamoate 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835589",
    "drug_name": "Imipramine pamoate 125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835591",
    "drug_name": "Imipramine pamoate 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835593",
    "drug_name": "Imipramine Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835603",
    "drug_name": "tramadol hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835700",
    "drug_name": "{30 (Doxycycline Monohydrate 150 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835726",
    "drug_name": "Acamprosate calcium 333 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835809",
    "drug_name": "testosterone enanthate 200 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835829",
    "drug_name": "testosterone cypionate 100 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835835",
    "drug_name": "cyclosporine, modified 100 MG Oral Capsule [Gengraf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835840",
    "drug_name": "testosterone cypionate 200 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835886",
    "drug_name": "CYCLOSPORINE, MODIFIED 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835894",
    "drug_name": "cyclosporine, modified 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835896",
    "drug_name": "cyclosporine, modified 25 MG Oral Capsule [Gengraf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835899",
    "drug_name": "cyclosporine, modified 100 MG/ML Oral Solution [Neoral]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835909",
    "drug_name": "cyclosporine, modified 25 MG Oral Capsule [Neoral]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835911",
    "drug_name": "cyclosporine, modified 100 MG Oral Capsule [Neoral]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835913",
    "drug_name": "Mefloquine Hydrochloride 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835925",
    "drug_name": "cyclosporine, modified 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "835956",
    "drug_name": "Amiodarone hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "836343",
    "drug_name": "200 ACTUAT Ipratropium Bromide 0.017 MG/ACTUAT Metered Dose Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "836358",
    "drug_name": "Ipratropium Bromide 0.2 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "836368",
    "drug_name": "200 ACTUAT Ipratropium Bromide 0.017 MG/ACTUAT Metered Dose Inhaler [Atrovent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "836395",
    "drug_name": "Acetaminophen 325 MG / tramadol hydrochloride 37.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "844590",
    "drug_name": "Theophylline 100 MG Extended Release Oral Capsule [Theo-24]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "844591",
    "drug_name": "Theophylline 300 MG Extended Release Oral Capsule [Theo-24]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "844813",
    "drug_name": "Theophylline 200 MG Extended Release Oral Capsule [Theo-24]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "844829",
    "drug_name": "Theophylline 400 MG Extended Release Oral Capsule [Theo-24]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "845488",
    "drug_name": "Ramipril 1.25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "845507",
    "drug_name": "everolimus 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "845515",
    "drug_name": "everolimus 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "846192",
    "drug_name": "{21 (Dexamethasone 1.5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "846378",
    "drug_name": "24 HR Levetiracetam 750 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847189",
    "drug_name": "3 ML insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Pen Injector [Humulin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847199",
    "drug_name": "3 ML insulin isophane, human 100 UNT/ML Pen Injector [Humulin N]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847213",
    "drug_name": "3 ML Insulin Lispro 50 UNT/ML / insulin lispro protamine, human 50 UNT/ML Pen Injector [Humalog Mix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847232",
    "drug_name": "3 ML Insulin Glargine 100 UNT/ML Pen Injector [Lantus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847245",
    "drug_name": "1.5 ML Somatropin 10 MG/ML Pen Injector [Norditropin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847247",
    "drug_name": "1.5 ML Somatropin 3.33 MG/ML Pen Injector [Norditropin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847252",
    "drug_name": "3 ML Insulin Lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Pen Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847254",
    "drug_name": "3 ML Insulin Lispro 25 UNT/ML / insulin lispro protamine, human 75 UNT/ML Pen Injector [Humalog Mix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847261",
    "drug_name": "3 ML insulin glulisine, human 100 UNT/ML Pen Injector [Apidra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847348",
    "drug_name": "1.5 ML Somatropin 6.67 MG/ML Pen Injector [Norditropin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "847734",
    "drug_name": "artemether 20 MG / lumefantrine 120 MG Oral Tablet [Coartem]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848131",
    "drug_name": "Amlodipine 10 MG / Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848135",
    "drug_name": "Amlodipine 10 MG / Hydrochlorothiazide 25 MG / valsartan 320 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848140",
    "drug_name": "Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848145",
    "drug_name": "Amlodipine 5 MG / Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848151",
    "drug_name": "Amlodipine 10 MG / Hydrochlorothiazide 25 MG / valsartan 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848164",
    "drug_name": "0.5 ML golimumab 100 MG/ML Prefilled Syringe [Simponi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848176",
    "drug_name": "Augmented Betamethasone 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848178",
    "drug_name": "Augmented Betamethasone 0.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848180",
    "drug_name": "Augmented Betamethasone 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848208",
    "drug_name": "Augmented Betamethasone 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848330",
    "drug_name": "90 DAY Estradiol 0.000313 MG/HR Vaginal System [Estring]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848333",
    "drug_name": "90 DAY Estradiol 0.00208 MG/HR Vaginal System [Femring]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848343",
    "drug_name": "90 DAY Estradiol 0.00417 MG/HR Vaginal System [Femring]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848582",
    "drug_name": "24 HR ropinirole 6 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848943",
    "drug_name": "Cholestyramine Resin 4000 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848951",
    "drug_name": "Sugar-Free Cholestyramine Resin 4000 MG Powder for Oral Suspension [Prevalite]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "848956",
    "drug_name": "Ciprofloxacin 2 MG/ML Otic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849385",
    "drug_name": "Amantadine Hydrochloride 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849389",
    "drug_name": "Amantadine Hydrochloride 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849395",
    "drug_name": "Amantadine Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849398",
    "drug_name": "Naproxen sodium 275 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849431",
    "drug_name": "Naproxen sodium 550 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849450",
    "drug_name": "Naproxen sodium 500 MG / Sumatriptan 85 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849506",
    "drug_name": "Desmopressin Acetate 0.01 MG/ACTUAT Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849515",
    "drug_name": "Desmopressin Acetate 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849599",
    "drug_name": "1 ML certolizumab pegol 200 MG/ML Prefilled Syringe [Cimzia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "849928",
    "drug_name": "caffeine citrate 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "850087",
    "drug_name": "24 HR lamotrigine 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "850091",
    "drug_name": "24 HR lamotrigine 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "850309",
    "drug_name": "besifloxacin 6 MG/ML Ophthalmic Suspension [Besivance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "850457",
    "drug_name": "darunavir 150 MG Oral Tablet [Prezista]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "851748",
    "drug_name": "{21 (lamotrigine 25 MG Disintegrating Oral Tablet) / 7 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "851750",
    "drug_name": "{7 (lamotrigine 100 MG Disintegrating Oral Tablet) / 14 (lamotrigine 25 MG Disintegrating Oral Tablet) / 14 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "851752",
    "drug_name": "{14 (lamotrigine 100 MG Disintegrating Oral Tablet) / 42 (lamotrigine 50 MG Disintegrating Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "852877",
    "drug_name": "Quinidine Sulfate 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "852913",
    "drug_name": "Quinidine Sulfate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "852920",
    "drug_name": "quinidine gluconate 324 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "853201",
    "drug_name": "24 HR quetiapine 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854140",
    "drug_name": "tapentadol 100 MG Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854142",
    "drug_name": "tapentadol 50 MG Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854144",
    "drug_name": "tapentadol 75 MG Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854228",
    "drug_name": "0.3 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854235",
    "drug_name": "0.4 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854238",
    "drug_name": "0.6 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854241",
    "drug_name": "0.8 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854245",
    "drug_name": "0.8 ML Enoxaparin sodium 150 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854248",
    "drug_name": "1 ML Enoxaparin sodium 100 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854252",
    "drug_name": "1 ML Enoxaparin sodium 150 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854255",
    "drug_name": "Enoxaparin sodium 100 MG/ML Injectable Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854302",
    "drug_name": "1.5 ML Somatropin 6.67 MG/ML Cartridge [Omnitrope]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854801",
    "drug_name": "Diclofenac Sodium 1 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854830",
    "drug_name": "lisdexamfetamine dimesylate 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854834",
    "drug_name": "lisdexamfetamine dimesylate 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854838",
    "drug_name": "lisdexamfetamine dimesylate 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854842",
    "drug_name": "lisdexamfetamine dimesylate 70 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854846",
    "drug_name": "lisdexamfetamine dimesylate 60 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854850",
    "drug_name": "lisdexamfetamine dimesylate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854859",
    "drug_name": "dronedarone 400 MG Oral Tablet [Multaq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854868",
    "drug_name": "Rabeprazole sodium 20 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854873",
    "drug_name": "Zolpidem tartrate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854876",
    "drug_name": "Zolpidem tartrate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854880",
    "drug_name": "Zolpidem tartrate 12.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854894",
    "drug_name": "Zolpidem tartrate 6.25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854901",
    "drug_name": "Bisoprolol Fumarate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854905",
    "drug_name": "Bisoprolol Fumarate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854908",
    "drug_name": "Bisoprolol Fumarate 10 MG / Hydrochlorothiazide 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854916",
    "drug_name": "Bisoprolol Fumarate 2.5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854919",
    "drug_name": "Bisoprolol Fumarate 5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854925",
    "drug_name": "Perindopril Erbumine 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854984",
    "drug_name": "Perindopril Erbumine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854988",
    "drug_name": "Perindopril Erbumine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "854997",
    "drug_name": "Colistin 3 MG/ML / Hydrocortisone 10 MG/ML / Neomycin 3.3 MG/ML / THONZONIUM BROMIDE 0.5 MG/ML OticSuspension [Cortisporin-TC]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855178",
    "drug_name": "tolterodine tartrate 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855182",
    "drug_name": "24 HR tolterodine tartrate 2 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855189",
    "drug_name": "24 HR tolterodine tartrate 4 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855194",
    "drug_name": "tolterodine tartrate 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855288",
    "drug_name": "Warfarin Sodium 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855296",
    "drug_name": "Warfarin Sodium 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855302",
    "drug_name": "Warfarin Sodium 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855312",
    "drug_name": "Warfarin Sodium 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855318",
    "drug_name": "Warfarin Sodium 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855324",
    "drug_name": "Warfarin Sodium 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855332",
    "drug_name": "Warfarin Sodium 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855338",
    "drug_name": "Warfarin Sodium 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855344",
    "drug_name": "Warfarin Sodium 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855474",
    "drug_name": "alclometasone dipropionate 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855480",
    "drug_name": "alclometasone dipropionate 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855642",
    "drug_name": "Diclofenac Sodium 0.03 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855657",
    "drug_name": "24 HR Diclofenac Sodium 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855664",
    "drug_name": "Diclofenac Sodium 25 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855671",
    "drug_name": "Phenytoin sodium 100 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855673",
    "drug_name": "Phenytoin sodium 100 MG Extended Release Oral Capsule [Dilantin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855812",
    "drug_name": "prasugrel 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855818",
    "drug_name": "prasugrel 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855856",
    "drug_name": "3 ML Apomorphine hydrochloride 10 MG/ML Cartridge",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855861",
    "drug_name": "Phenytoin sodium 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855863",
    "drug_name": "Phenytoin sodium 200 MG Extended Release Oral Capsule [Phenytek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855871",
    "drug_name": "Phenytoin sodium 30 MG Extended Release Oral Capsule [Dilantin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855873",
    "drug_name": "Phenytoin sodium 300 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855875",
    "drug_name": "Phenytoin sodium 300 MG Extended Release Oral Capsule [Phenytek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855906",
    "drug_name": "Diclofenac Sodium 50 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855926",
    "drug_name": "Diclofenac Sodium 75 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "855942",
    "drug_name": "Diclofenac Potassium 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856364",
    "drug_name": "Trazodone Hydrochloride 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856369",
    "drug_name": "Trazodone Hydrochloride 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856373",
    "drug_name": "Trazodone Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856377",
    "drug_name": "Trazodone Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856448",
    "drug_name": "Propranolol Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856457",
    "drug_name": "Propranolol Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856460",
    "drug_name": "24 HR Propranolol Hydrochloride 120 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856467",
    "drug_name": "{7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856481",
    "drug_name": "24 HR Propranolol Hydrochloride 160 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856519",
    "drug_name": "Propranolol Hydrochloride 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856535",
    "drug_name": "24 HR Propranolol Hydrochloride 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856556",
    "drug_name": "Propranolol Hydrochloride 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856569",
    "drug_name": "24 HR Propranolol Hydrochloride 80 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856578",
    "drug_name": "Propranolol Hydrochloride 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856605",
    "drug_name": "Rimantadine Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856652",
    "drug_name": "Dantrolene Sodium 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856656",
    "drug_name": "Dantrolene Sodium 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856660",
    "drug_name": "Dantrolene Sodium 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856666",
    "drug_name": "rifaximin 550 MG Oral Tablet [XIFAXAN]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856706",
    "drug_name": "Amitriptyline Hydrochloride 10 MG / Perphenazine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856720",
    "drug_name": "Amitriptyline Hydrochloride 10 MG / Perphenazine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856724",
    "drug_name": "Propranolol Hydrochloride 4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856733",
    "drug_name": "Propranolol Hydrochloride 8 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856762",
    "drug_name": "Amitriptyline Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856769",
    "drug_name": "Amitriptyline Hydrochloride 12.5 MG / Chlordiazepoxide 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856773",
    "drug_name": "Amitriptyline Hydrochloride 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856783",
    "drug_name": "Amitriptyline Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856792",
    "drug_name": "Amitriptyline Hydrochloride 25 MG / Chlordiazepoxide 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856797",
    "drug_name": "Amitriptyline Hydrochloride 25 MG / Perphenazine 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856825",
    "drug_name": "Amitriptyline Hydrochloride 25 MG / Perphenazine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856834",
    "drug_name": "Amitriptyline Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856840",
    "drug_name": "Amitriptyline Hydrochloride 50 MG / Perphenazine 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856845",
    "drug_name": "Amitriptyline Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856853",
    "drug_name": "Amitriptyline Hydrochloride 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856940",
    "drug_name": "Acetaminophen 21.7 MG/ML / Hydrocodone Bitartrate 0.5 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856980",
    "drug_name": "Acetaminophen 300 MG / Hydrocodone Bitartrate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856987",
    "drug_name": "Acetaminophen 300 MG / Hydrocodone Bitartrate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856992",
    "drug_name": "Acetaminophen 300 MG / Hydrocodone Bitartrate 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "856999",
    "drug_name": "Acetaminophen 325 MG / Hydrocodone Bitartrate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857002",
    "drug_name": "Acetaminophen 325 MG / Hydrocodone Bitartrate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857005",
    "drug_name": "Acetaminophen 325 MG / Hydrocodone Bitartrate 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857166",
    "drug_name": "Fosinopril Sodium 10 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857169",
    "drug_name": "Fosinopril Sodium 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857174",
    "drug_name": "Fosinopril Sodium 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857183",
    "drug_name": "Fosinopril Sodium 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857187",
    "drug_name": "Fosinopril Sodium 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857216",
    "drug_name": "Sevelamer hydrochloride 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857224",
    "drug_name": "Sevelamer hydrochloride 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857297",
    "drug_name": "Clomipramine Hydrochloride 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857301",
    "drug_name": "Clomipramine Hydrochloride 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857305",
    "drug_name": "Clomipramine Hydrochloride 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857321",
    "drug_name": "Bethanechol Chloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857328",
    "drug_name": "Bethanechol Chloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857336",
    "drug_name": "Bethanechol Chloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857340",
    "drug_name": "Bethanechol Chloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857366",
    "drug_name": "Econazole Nitrate 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857391",
    "drug_name": "Acetaminophen 325 MG / Hydrocodone Bitartrate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857430",
    "drug_name": "Clemastine Fumarate 0.134 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857461",
    "drug_name": "Clemastine Fumarate 2.68 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857560",
    "drug_name": "trospium chloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857564",
    "drug_name": "24 HR trospium chloride 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857677",
    "drug_name": "Terbutaline Sulfate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857683",
    "drug_name": "Terbutaline Sulfate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857700",
    "drug_name": "Diclofenac Sodium 15 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857706",
    "drug_name": "Diclofenac Sodium 50 MG / Misoprostol 0.2 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "857799",
    "drug_name": "Treprostinil 0.6 MG/ML Inhalation Solution [Tyvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858036",
    "drug_name": "saxagliptin 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858042",
    "drug_name": "saxagliptin 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858062",
    "drug_name": "24 HR Minocycline 115 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858079",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [Plan B One-Step]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858116",
    "drug_name": "Fenoprofen 400 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858262",
    "drug_name": "Doxercalciferol 0.001 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858342",
    "drug_name": "diclofenac 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858366",
    "drug_name": "Ketorolac Tromethamine 4.5 MG/ML Ophthalmic Solution [Acuvail]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858372",
    "drug_name": "24 HR Minocycline 65 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858613",
    "drug_name": "Nicardipine hydrochloride 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858616",
    "drug_name": "Nicardipine hydrochloride 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858625",
    "drug_name": "Pramipexole dihydrochloride 0.75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858733",
    "drug_name": "Ursodiol 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858747",
    "drug_name": "Ursodiol 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858751",
    "drug_name": "Ursodiol 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858778",
    "drug_name": "Hydrocodone Bitartrate 5 MG / Ibuprofen 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858798",
    "drug_name": "Hydrocodone Bitartrate 7.5 MG / Ibuprofen 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858804",
    "drug_name": "Enalapril Maleate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858810",
    "drug_name": "Enalapril Maleate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858813",
    "drug_name": "Enalapril Maleate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858817",
    "drug_name": "Enalapril Maleate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858824",
    "drug_name": "Enalapril Maleate 5 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "858828",
    "drug_name": "Enalapril Maleate 10 MG / Hydrochlorothiazide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859033",
    "drug_name": "Pramipexole dihydrochloride 0.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859040",
    "drug_name": "Pramipexole dihydrochloride 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859044",
    "drug_name": "Pramipexole dihydrochloride 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859048",
    "drug_name": "Pramipexole dihydrochloride 1.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859052",
    "drug_name": "Pramipexole dihydrochloride 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859063",
    "drug_name": "Diclofenac Potassium 50 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859081",
    "drug_name": "Bromocriptine 0.8 MG Oral Tablet [Cycloset]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859186",
    "drug_name": "selegiline hydrochloride 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859192",
    "drug_name": "selegiline hydrochloride 1.25 MG Disintegrating Oral Tablet [Zelapar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859193",
    "drug_name": "selegiline hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859315",
    "drug_name": "Hydrocodone Bitartrate 10 MG / Ibuprofen 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859419",
    "drug_name": "Rosuvastatin calcium 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859424",
    "drug_name": "Rosuvastatin calcium 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859747",
    "drug_name": "Rosuvastatin calcium 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859751",
    "drug_name": "Rosuvastatin calcium 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859835",
    "drug_name": "Fluphenazine Hydrochloride 0.5 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859841",
    "drug_name": "Fluphenazine Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859975",
    "drug_name": "Asenapine 10 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "859981",
    "drug_name": "Asenapine 5 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860103",
    "drug_name": "Ketorolac Tromethamine 4 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860107",
    "drug_name": "Ketorolac Tromethamine 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860215",
    "drug_name": "Megestrol Acetate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860221",
    "drug_name": "Megestrol Acetate 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860225",
    "drug_name": "Megestrol Acetate 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860510",
    "drug_name": "24 HR carvedilol phosphate 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860516",
    "drug_name": "24 HR carvedilol phosphate 20 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860522",
    "drug_name": "24 HR carvedilol phosphate 40 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860532",
    "drug_name": "24 HR carvedilol phosphate 80 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860654",
    "drug_name": "epinastine hydrochloride 0.5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860695",
    "drug_name": "24 HR galantamine hydrobromide 16 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860707",
    "drug_name": "24 HR galantamine hydrobromide 24 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860715",
    "drug_name": "24 HR galantamine hydrobromide 8 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860771",
    "drug_name": "Trimethobenzamide hydrochloride 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860805",
    "drug_name": "Azelastine hydrochloride 0.5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860880",
    "drug_name": "fenofibric acid 105 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860886",
    "drug_name": "fenofibric acid 35 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860901",
    "drug_name": "galantamine hydrobromide 4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860918",
    "drug_name": "Fluphenazine Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860975",
    "drug_name": "24 HR Metformin hydrochloride 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "860981",
    "drug_name": "24 HR Metformin hydrochloride 750 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861004",
    "drug_name": "Metformin hydrochloride 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861007",
    "drug_name": "Metformin hydrochloride 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861010",
    "drug_name": "Metformin hydrochloride 850 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861021",
    "drug_name": "Metformin hydrochloride 625 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861025",
    "drug_name": "Metformin hydrochloride 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861064",
    "drug_name": "Sertraline 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861113",
    "drug_name": "vitamin B12 0.5 MG/ACTUAT Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861132",
    "drug_name": "24 HR Alfuzosin hydrochloride 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861156",
    "drug_name": "12 HR Propafenone Hydrochloride 225 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861164",
    "drug_name": "12 HR Propafenone Hydrochloride 325 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861171",
    "drug_name": "12 HR Propafenone Hydrochloride 425 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861200",
    "drug_name": "Brimonidine tartrate 2 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861204",
    "drug_name": "Brimonidine tartrate 1 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861208",
    "drug_name": "Brimonidine tartrate 1.5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861221",
    "drug_name": "24 HR Amphetamine aspartate 2.5 MG / Amphetamine Sulfate 2.5 MG / Dextroamphetamine saccharate 2.5 MG / Dextroamphetamine Sulfate 2.5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861223",
    "drug_name": "24 HR Amphetamine aspartate 3.75 MG / Amphetamine Sulfate 3.75 MG / Dextroamphetamine saccharate 3.75 MG / Dextroamphetamine Sulfate 3.75 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861225",
    "drug_name": "24 HR Amphetamine aspartate 5 MG / Amphetamine Sulfate 5 MG / Dextroamphetamine saccharate 5 MG / Dextroamphetamine Sulfate 5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861227",
    "drug_name": "24 HR Amphetamine aspartate 6.25 MG / Amphetamine Sulfate 6.25 MG / Dextroamphetamine saccharate 6.25 MG / Dextroamphetamine Sulfate 6.25 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861232",
    "drug_name": "24 HR Amphetamine aspartate 7.5 MG / Amphetamine Sulfate 7.5 MG / Dextroamphetamine saccharate 7.5 MG / Dextroamphetamine Sulfate 7.5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861237",
    "drug_name": "24 HR Amphetamine aspartate 1.25 MG / Amphetamine Sulfate 1.25 MG / Dextroamphetamine saccharate 1.25 MG / Dextroamphetamine Sulfate 1.25 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861353",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861356",
    "drug_name": "0.8 ML Fondaparinux sodium 12.5 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861360",
    "drug_name": "0.5 ML Fondaparinux sodium 5 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861363",
    "drug_name": "0.4 ML Fondaparinux sodium 12.5 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861365",
    "drug_name": "0.6 ML Fondaparinux sodium 12.5 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861370",
    "drug_name": "sevelamer carbonate 2400 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861375",
    "drug_name": "sevelamer carbonate 800 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861402",
    "drug_name": "Phenoxybenzamine Hydrochloride 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861424",
    "drug_name": "Propafenone Hydrochloride 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861427",
    "drug_name": "Propafenone Hydrochloride 225 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861430",
    "drug_name": "Propafenone Hydrochloride 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861434",
    "drug_name": "Clobetasol Propionate 0.0005 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861448",
    "drug_name": "Clobetasol Propionate 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861467",
    "drug_name": "Meperidine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861479",
    "drug_name": "Meperidine Hydrochloride 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861487",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861490",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Medicated Shampoo",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861495",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861505",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861512",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Topical Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861568",
    "drug_name": "Esomeprazole 10 MG Granules for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861597",
    "drug_name": "Pentamidine Isethionate 50 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861635",
    "drug_name": "Brimonidine tartrate 2 MG/ML / Timolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861643",
    "drug_name": "pitavastatin calcium 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861648",
    "drug_name": "pitavastatin calcium 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861652",
    "drug_name": "pitavastatin calcium 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861657",
    "drug_name": "24 HR Nitroglycerin 0.1 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861668",
    "drug_name": "Dihydroergotamine Mesylate 0.5 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861672",
    "drug_name": "1 ML Dihydroergotamine Mesylate 1 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861731",
    "drug_name": "Glipizide 2.5 MG / Metformin hydrochloride 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861736",
    "drug_name": "Glipizide 2.5 MG / Metformin hydrochloride 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861740",
    "drug_name": "Glipizide 5 MG / Metformin hydrochloride 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861743",
    "drug_name": "Glyburide 1.25 MG / Metformin hydrochloride 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861748",
    "drug_name": "Glyburide 2.5 MG / Metformin hydrochloride 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861753",
    "drug_name": "Glyburide 5 MG / Metformin hydrochloride 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861771",
    "drug_name": "metformin hydrochloride 1000 MG / sitagliptin phosphate 50 MG Oral Tablet [Janumet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861783",
    "drug_name": "Metformin hydrochloride 500 MG / pioglitazone 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861821",
    "drug_name": "metformin hydrochloride 500 MG / sitagliptin phosphate 50 MG Oral Tablet [Janumet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861822",
    "drug_name": "Metformin hydrochloride 850 MG / pioglitazone 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861848",
    "drug_name": "Fluphenazine Hydrochloride 5 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "861960",
    "drug_name": "armodafinil 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "862006",
    "drug_name": "24 HR Guanfacine 1 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "862013",
    "drug_name": "24 HR Guanfacine 2 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "862019",
    "drug_name": "24 HR Guanfacine 3 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "862025",
    "drug_name": "24 HR Guanfacine 4 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863038",
    "drug_name": "bepotastine besilate 15 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863559",
    "drug_name": "valganciclovir 50 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863599",
    "drug_name": "Oxybutynin chloride 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863619",
    "drug_name": "24 HR Oxybutynin chloride 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863628",
    "drug_name": "24 HR Oxybutynin chloride 15 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863636",
    "drug_name": "24 HR Oxybutynin chloride 5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863664",
    "drug_name": "Oxybutynin chloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863669",
    "drug_name": "Tamsulosin hydrochloride 0.4 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863758",
    "drug_name": "Oxybutynin chloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863829",
    "drug_name": "amylase 120000 UNT / lipase 24000 UNT / protease 76000 UNT Delayed Release Oral Capsule [Creon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863836",
    "drug_name": "amylase 30000 UNT / lipase 6000 UNT / protease 19000 UNT Delayed Release Oral Capsule [Creon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "863841",
    "drug_name": "amylase 60000 UNT / lipase 12000 UNT / protease 38000 UNT Delayed Release Oral Capsule [Creon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864110",
    "drug_name": "1.5 ML Somatropin 3.3 MG/ML Cartridge [Omnitrope]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864650",
    "drug_name": "Ganciclovir 0.0015 MG/MG Ophthalmic Gel [Zirgan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864661",
    "drug_name": "efavirenz 600 MG / Lamivudine 300 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864675",
    "drug_name": "Atovaquone 250 MG / proguanil hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864681",
    "drug_name": "Atovaquone 62.5 MG / proguanil hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864706",
    "drug_name": "Methadone Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864718",
    "drug_name": "Methadone Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864761",
    "drug_name": "Methadone Hydrochloride 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "864769",
    "drug_name": "Methadone Hydrochloride 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865098",
    "drug_name": "Insulin Lispro 100 UNT/ML Injectable Solution [Humalog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865117",
    "drug_name": "Fluphenazine Hydrochloride 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865123",
    "drug_name": "Fluphenazine Hydrochloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865155",
    "drug_name": "Bisoprolol Fumarate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865208",
    "drug_name": "24 HR Selegiline 0.25 MG/HR Transdermal System [Emsam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865212",
    "drug_name": "24 HR Selegiline 0.375 MG/HR Transdermal System [Emsam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "865216",
    "drug_name": "24 HR Selegiline 0.5 MG/HR Transdermal System [Emsam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866018",
    "drug_name": "buspirone hydrochloride 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866021",
    "drug_name": "Cyproheptadine hydrochloride 0.4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866042",
    "drug_name": "Neomycin Sulfate 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866049",
    "drug_name": "60 ACTUAT salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Serevent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866083",
    "drug_name": "buspirone hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866090",
    "drug_name": "buspirone hydrochloride 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866094",
    "drug_name": "buspirone hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866103",
    "drug_name": "24 HR paliperidone 1.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866111",
    "drug_name": "buspirone hydrochloride 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866144",
    "drug_name": "Cyproheptadine hydrochloride 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866303",
    "drug_name": "12 HR Carbamazepine 100 MG Extended Release Oral Tablet [Tegretol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866305",
    "drug_name": "12 HR Carbamazepine 200 MG Extended Release Oral Tablet [Tegretol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866307",
    "drug_name": "12 HR Carbamazepine 400 MG Extended Release Oral Tablet [Tegretol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866412",
    "drug_name": "24 HR metoprolol succinate 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866419",
    "drug_name": "24 HR metoprolol succinate 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866427",
    "drug_name": "24 HR metoprolol succinate 25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866436",
    "drug_name": "24 HR metoprolol succinate 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866479",
    "drug_name": "Hydrochlorothiazide 25 MG / Metoprolol Tartrate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866482",
    "drug_name": "Hydrochlorothiazide 25 MG / Metoprolol Tartrate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866491",
    "drug_name": "Hydrochlorothiazide 50 MG / Metoprolol Tartrate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866511",
    "drug_name": "Metoprolol Tartrate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866514",
    "drug_name": "Metoprolol Tartrate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866905",
    "drug_name": "Colesevelam hydrochloride 3750 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866910",
    "drug_name": "Colesevelam hydrochloride 625 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "866924",
    "drug_name": "Metoprolol Tartrate 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "867381",
    "drug_name": "C1 esterase inhibitor (human) 500 UNT Injection [Berinert]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "867502",
    "drug_name": "pazopanib 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "876514",
    "drug_name": "Amlodipine 10 MG / telmisartan 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "876519",
    "drug_name": "Amlodipine 10 MG / telmisartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "876524",
    "drug_name": "Amlodipine 5 MG / telmisartan 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "876529",
    "drug_name": "Amlodipine 5 MG / telmisartan 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "881341",
    "drug_name": "adefovir dipivoxil 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "882548",
    "drug_name": "clindamycin phosphate 0.012 MG/MG / Tretinoin 0.00025 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "883826",
    "drug_name": "Tranexamic Acid 650 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884173",
    "drug_name": "Clonidine Hydrochloride 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884185",
    "drug_name": "Clonidine Hydrochloride 0.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884189",
    "drug_name": "Clonidine Hydrochloride 0.3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884308",
    "drug_name": "Nystatin 100 UNT/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884385",
    "drug_name": "Dextroamphetamine Sulfate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884386",
    "drug_name": "Dextroamphetamine Sulfate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884520",
    "drug_name": "Dextroamphetamine Sulfate 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884522",
    "drug_name": "Dextroamphetamine Sulfate 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884532",
    "drug_name": "Dextroamphetamine Sulfate 15 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884535",
    "drug_name": "Dextroamphetamine Sulfate 5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884617",
    "drug_name": "eltrombopag 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884655",
    "drug_name": "Amphetamine Sulfate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884684",
    "drug_name": "Dextroamphetamine Sulfate 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "884707",
    "drug_name": "Estradiol 0.01 MG Vaginal Insert",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "885131",
    "drug_name": "Benzoyl Peroxide 0.025 MG/MG / clindamycin phosphate 0.012 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "885209",
    "drug_name": "benztropine mesylate 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "885213",
    "drug_name": "benztropine mesylate 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "885219",
    "drug_name": "benztropine mesylate 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "885857",
    "drug_name": "Balsalazide disodium 750 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "886634",
    "drug_name": "Butorphanol Tartrate 1 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "886662",
    "drug_name": "Flecainide Acetate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "886666",
    "drug_name": "Flecainide Acetate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "886671",
    "drug_name": "Flecainide Acetate 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "889520",
    "drug_name": "Acetaminophen 300 MG / butalbital 50 MG / Caffeine 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "889614",
    "drug_name": "Chlordiazepoxide Hydrochloride 5 MG / Clidinium bromide 2.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "890786",
    "drug_name": "Butoconazole nitrate 20 MG/ML Vaginal Cream [Gynazole-1]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "891874",
    "drug_name": "Morphine Sulfate 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "891881",
    "drug_name": "Morphine Sulfate 15 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "891888",
    "drug_name": "Morphine Sulfate 30 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "891893",
    "drug_name": "Morphine Sulfate 60 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892244",
    "drug_name": "{14 (24 HR Nicotine 0.292 MG/HR Transdermal System) / 14 (24 HR Nicotine 0.583 MG/HR Transdermal System) / 28 (24 HR Nicotine 0.875 MG/HR Transdermal System) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892246",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892251",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892255",
    "drug_name": "Levothyroxine Sodium 0.3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892297",
    "drug_name": "24 HR Morphine Sulfate 120 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892342",
    "drug_name": "24 HR Morphine Sulfate 30 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892349",
    "drug_name": "24 HR Morphine Sulfate 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892355",
    "drug_name": "24 HR Morphine Sulfate 90 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892516",
    "drug_name": "Morphine Sulfate 10 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892582",
    "drug_name": "Morphine Sulfate 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892589",
    "drug_name": "Morphine Sulfate 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892603",
    "drug_name": "Morphine Sulfate 20 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892625",
    "drug_name": "Morphine Sulfate 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892646",
    "drug_name": "Morphine Sulfate 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892672",
    "drug_name": "Morphine Sulfate 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "892678",
    "drug_name": "Morphine Sulfate 30 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "894780",
    "drug_name": "Morphine Sulfate 4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "894807",
    "drug_name": "Morphine Sulfate 5 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "894859",
    "drug_name": "Acitretin 17.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "894942",
    "drug_name": "24 HR Morphine Sulfate 45 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "894970",
    "drug_name": "24 HR Morphine Sulfate 75 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "895487",
    "drug_name": "Fluticasone propionate 0.00005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "895670",
    "drug_name": "24 HR quetiapine 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "895987",
    "drug_name": "Fluticasone propionate 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "895990",
    "drug_name": "Fluticasone propionate 0.5 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896110",
    "drug_name": "Naftifine hydrochloride 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896184",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.1 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896209",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896228",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896235",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.045 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896237",
    "drug_name": "120 ACTUAT Fluticasone propionate 0.045 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler[Advair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896243",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.115 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896245",
    "drug_name": "120 ACTUAT Fluticasone propionate 0.115 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler[Advair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896271",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.23 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896273",
    "drug_name": "120 ACTUAT Fluticasone propionate 0.23 MG/ACTUAT / salmeterol 0.021 MG/ACTUAT Metered Dose Inhaler [Advair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896758",
    "drug_name": "Labetalol hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896762",
    "drug_name": "Labetalol hydrochloride 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896766",
    "drug_name": "Labetalol hydrochloride 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "896856",
    "drug_name": "Chorionic Gonadotropin 10000 UNT/ML Injectable Solution [Pregnyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897021",
    "drug_name": "12 HR dalfampridine 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897122",
    "drug_name": "3 ML liraglutide 6 MG/ML Pen Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897584",
    "drug_name": "24 HR Verapamil hydrochloride 100 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897590",
    "drug_name": "24 HR Verapamil hydrochloride 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897596",
    "drug_name": "24 HR Verapamil hydrochloride 300 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897612",
    "drug_name": "24 HR Verapamil hydrochloride 120 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897618",
    "drug_name": "24 HR Verapamil hydrochloride 180 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897624",
    "drug_name": "24 HR Verapamil hydrochloride 240 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897630",
    "drug_name": "24 HR Verapamil hydrochloride 360 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897640",
    "drug_name": "Verapamil hydrochloride 180 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897649",
    "drug_name": "Verapamil hydrochloride 240 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897657",
    "drug_name": "Hydromorphone Hydrochloride 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897659",
    "drug_name": "Verapamil hydrochloride 120 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897666",
    "drug_name": "Verapamil hydrochloride 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897683",
    "drug_name": "Verapamil hydrochloride 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897696",
    "drug_name": "Hydromorphone Hydrochloride 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897702",
    "drug_name": "Hydromorphone Hydrochloride 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897710",
    "drug_name": "Hydromorphone Hydrochloride 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897722",
    "drug_name": "Verapamil hydrochloride 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897781",
    "drug_name": "24 HR trandolapril 1 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897783",
    "drug_name": "24 HR trandolapril 2 MG / Verapamil hydrochloride 180 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897844",
    "drug_name": "24 HR trandolapril 2 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "897853",
    "drug_name": "24 HR trandolapril 4 MG / Verapamil hydrochloride 240 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898342",
    "drug_name": "Amlodipine 10 MG / Benazepril hydrochloride 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898346",
    "drug_name": "Amlodipine 10 MG / Benazepril hydrochloride 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898350",
    "drug_name": "Amlodipine 2.5 MG / Benazepril hydrochloride 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898353",
    "drug_name": "Amlodipine 5 MG / Benazepril hydrochloride 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898356",
    "drug_name": "Amlodipine 5 MG / Benazepril hydrochloride 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898359",
    "drug_name": "Amlodipine 5 MG / Benazepril hydrochloride 40 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898362",
    "drug_name": "Benazepril hydrochloride 10 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898367",
    "drug_name": "Benazepril hydrochloride 20 MG / Hydrochlorothiazide 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898372",
    "drug_name": "Benazepril hydrochloride 20 MG / Hydrochlorothiazide 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898378",
    "drug_name": "Benazepril hydrochloride 5 MG / Hydrochlorothiazide 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898490",
    "drug_name": "potassium citrate 15 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898687",
    "drug_name": "Benazepril hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898690",
    "drug_name": "Benazepril hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898715",
    "drug_name": "pregabalin 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898719",
    "drug_name": "Benazepril hydrochloride 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "898723",
    "drug_name": "Benazepril hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899439",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899461",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 15 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899485",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 20 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899495",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 30 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899511",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899518",
    "drug_name": "dexmethylphenidate hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899548",
    "drug_name": "dexmethylphenidate hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899557",
    "drug_name": "dexmethylphenidate hydrochloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899690",
    "drug_name": "24 HR Nitroglycerin 0.3 MG/HR Transdermal System [Nitro-Dur]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "899705",
    "drug_name": "24 HR Nitroglycerin 0.8 MG/HR Transdermal System [Nitro-Dur]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "900156",
    "drug_name": "24 HR lamotrigine 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "900164",
    "drug_name": "24 HR lamotrigine 25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "900575",
    "drug_name": "Ritonavir 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "901534",
    "drug_name": "24 HR Pramipexole dihydrochloride 4.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "901541",
    "drug_name": "24 HR Pramipexole dihydrochloride 0.375 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "901546",
    "drug_name": "24 HR Pramipexole dihydrochloride 0.75 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "901550",
    "drug_name": "24 HR Pramipexole dihydrochloride 1.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "901555",
    "drug_name": "24 HR Pramipexole dihydrochloride 3 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "901614",
    "drug_name": "Aztreonam 75 MG/ML Inhalation Solution [Cayston]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "902648",
    "drug_name": "12 HR Disopyramide 100 MG Extended Release Oral Capsule [Norpace]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "902652",
    "drug_name": "12 HR Disopyramide 150 MG Extended Release Oral Capsule [Norpace]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "902729",
    "drug_name": "24 HR Hydromorphone Hydrochloride 12 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "902736",
    "drug_name": "24 HR Hydromorphone Hydrochloride 16 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "902741",
    "drug_name": "24 HR Hydromorphone Hydrochloride 8 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903456",
    "drug_name": "liothyronine sodium 0.005 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903458",
    "drug_name": "liothyronine sodium 0.005 MG Oral Tablet [Cytomel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903697",
    "drug_name": "liothyronine sodium 0.025 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903699",
    "drug_name": "liothyronine sodium 0.025 MG Oral Tablet [Cytomel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903703",
    "drug_name": "liothyronine sodium 0.05 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903705",
    "drug_name": "liothyronine sodium 0.05 MG Oral Tablet [Cytomel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903841",
    "drug_name": "Pyridostigmine Bromide 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903843",
    "drug_name": "Pyridostigmine Bromide 12 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903847",
    "drug_name": "Pyridostigmine Bromide 180 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903857",
    "drug_name": "Pyridostigmine Bromide 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903873",
    "drug_name": "24 HR Fluvoxamine Maleate 100 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903879",
    "drug_name": "24 HR Fluvoxamine Maleate 150 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903884",
    "drug_name": "Fluvoxamine Maleate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903887",
    "drug_name": "Fluvoxamine Maleate 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "903891",
    "drug_name": "Fluvoxamine Maleate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904170",
    "drug_name": "Primaquine Phosphate 26.3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904396",
    "drug_name": "Alendronic acid 35 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904419",
    "drug_name": "Alendronic acid 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904431",
    "drug_name": "Alendronic acid 70 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904447",
    "drug_name": "Alendronic acid 0.933 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904458",
    "drug_name": "Pravastatin Sodium 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904467",
    "drug_name": "Pravastatin Sodium 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904475",
    "drug_name": "Pravastatin Sodium 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904481",
    "drug_name": "Pravastatin Sodium 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904589",
    "drug_name": "Sotalol Hydrochloride 240 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904870",
    "drug_name": "168 HR Buprenorphine 0.01 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904876",
    "drug_name": "168 HR Buprenorphine 0.02 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904880",
    "drug_name": "168 HR Buprenorphine 0.005 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "904932",
    "drug_name": "ibandronic acid 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905024",
    "drug_name": "risedronate sodium 35 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905028",
    "drug_name": "risedronate sodium 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905032",
    "drug_name": "risedronate sodium 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905041",
    "drug_name": "risedronate sodium 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905092",
    "drug_name": "{4 (risedronate sodium 35 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905100",
    "drug_name": "{12 (risedronate sodium 35 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905158",
    "drug_name": "Sirolimus 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905164",
    "drug_name": "Olsalazine sodium 250 MG Oral Capsule [Dipentum]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905168",
    "drug_name": "Protriptyline Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905172",
    "drug_name": "Protriptyline Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905199",
    "drug_name": "Hydralazine Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905222",
    "drug_name": "Hydralazine Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905225",
    "drug_name": "Hydralazine Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905269",
    "drug_name": "Trihexyphenidyl Hydrochloride 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905273",
    "drug_name": "Trihexyphenidyl Hydrochloride 0.4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905283",
    "drug_name": "Trihexyphenidyl Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905341",
    "drug_name": "Demeclocycline Hydrochloride 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905347",
    "drug_name": "Demeclocycline Hydrochloride 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905369",
    "drug_name": "Chlordiazepoxide Hydrochloride 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905377",
    "drug_name": "Hydralazine Hydrochloride 37.5 MG / Isosorbide Dinitrate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905390",
    "drug_name": "Carglumic acid 200 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905395",
    "drug_name": "Hydralazine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905451",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905453",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905455",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905457",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905458",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905460",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905462",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905464",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905495",
    "drug_name": "Chlordiazepoxide Hydrochloride 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "905516",
    "drug_name": "Chlordiazepoxide Hydrochloride 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966154",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966157",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966158",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966161",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966164",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966167",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966170",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966171",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966175",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966178",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966184",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966185",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966188",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966190",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966191",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966194",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966197",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966200",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966201",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966204",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966205",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966208",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966211",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966214",
    "drug_name": "Levothyroxine Sodium 0.3 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966218",
    "drug_name": "Levothyroxine Sodium 0.3 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966220",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966221",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966222",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966224",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966225",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966228",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966232",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966233",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966235",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966237",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966238",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966241",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966243",
    "drug_name": "Levothyroxine Sodium 0.3 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966244",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966246",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966247",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966248",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966249",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966250",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966251",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966253",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966270",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966271",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966282",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Tablet [Synthroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966283",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Tablet [Levoxyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966286",
    "drug_name": "Levothyroxine Sodium 0.075 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966397",
    "drug_name": "Levothyroxine Sodium 0.112 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966399",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966401",
    "drug_name": "Levothyroxine Sodium 0.088 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966404",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966405",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966406",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966407",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966410",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Tablet [Levo-T]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966412",
    "drug_name": "Levothyroxine Sodium 0.013 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966413",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966415",
    "drug_name": "Levothyroxine Sodium 0.1 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966417",
    "drug_name": "Levothyroxine Sodium 0.125 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966420",
    "drug_name": "Levothyroxine Sodium 0.15 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966423",
    "drug_name": "Levothyroxine Sodium 0.025 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966426",
    "drug_name": "Levothyroxine Sodium 0.05 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966434",
    "drug_name": "Levothyroxine Sodium 0.013 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966436",
    "drug_name": "Levothyroxine Sodium 0.137 MG Oral Tablet [Unithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966524",
    "drug_name": "120 ACTUAT Budesonide 0.18 MG/ACTUAT Dry Powder Inhaler [Pulmicort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966529",
    "drug_name": "60 ACTUAT Budesonide 0.09 MG/ACTUAT Dry Powder Inhaler [Pulmicort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966577",
    "drug_name": "diflorasone diacetate 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966607",
    "drug_name": "diflorasone diacetate 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966787",
    "drug_name": "Doxepin 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "966793",
    "drug_name": "Doxepin 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "967012",
    "drug_name": "POLYETHYLENE GLYCOL 3350 236000 MG / Potassium Chloride 2970 MG / Sodium Bicarbonate 6740 MG / Sodium Chloride 5860 MG / sodium sulfate 22740 MG Powder for Oral Solution [Gavilyte-G]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "967017",
    "drug_name": "imiquimod 37.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "967023",
    "drug_name": "POLYETHYLENE GLYCOL 3350 240000 MG / Potassium Chloride 2980 MG / Sodium Bicarbonate 6720 MG / Sodium Chloride 5840 MG / sodium sulfate 22720 MG Powder for Oral Solution [GaviLyte-C]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "968849",
    "drug_name": "Nicotine 2 MG Oral Lozenge [Nicorette]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "968851",
    "drug_name": "Nicotine 4 MG Oral Lozenge [Nicorette]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977427",
    "drug_name": "everolimus 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977434",
    "drug_name": "everolimus 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977438",
    "drug_name": "everolimus 0.75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977836",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Heather 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977840",
    "drug_name": "3 ML insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Pen Injector [NovoLog Mix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977842",
    "drug_name": "insulin aspart protamine, human 70 UNT/ML / insulin aspart, human 30 UNT/ML Injectable Suspension [NovoLog Mix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977860",
    "drug_name": "Methamphetamine Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977874",
    "drug_name": "12 HR Oxymorphone Hydrochloride 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977880",
    "drug_name": "Amiloride Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977883",
    "drug_name": "Amiloride Hydrochloride 5 MG / Hydrochlorothiazide 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977894",
    "drug_name": "12 HR Oxymorphone Hydrochloride 15 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977902",
    "drug_name": "12 HR Oxymorphone Hydrochloride 20 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977909",
    "drug_name": "12 HR Oxymorphone Hydrochloride 30 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977915",
    "drug_name": "12 HR Oxymorphone Hydrochloride 40 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977923",
    "drug_name": "12 HR Oxymorphone Hydrochloride 5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977929",
    "drug_name": "12 HR Oxymorphone Hydrochloride 7.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977939",
    "drug_name": "Oxymorphone Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977942",
    "drug_name": "Oxymorphone Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977978",
    "drug_name": "halobetasol propionate 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "977990",
    "drug_name": "halobetasol propionate 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978006",
    "drug_name": "Loperamide Hydrochloride 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978573",
    "drug_name": "Carteolol Hydrochloride 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978727",
    "drug_name": "0.2 ML Dalteparin Sodium 12500 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978735",
    "drug_name": "0.2 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978737",
    "drug_name": "0.3 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978741",
    "drug_name": "0.5 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978745",
    "drug_name": "0.6 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978747",
    "drug_name": "0.72 ML Dalteparin Sodium 25000 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978757",
    "drug_name": "1 ML Dalteparin Sodium 10000 UNT/ML Prefilled Syringe [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978778",
    "drug_name": "Dalteparin Sodium 25000 UNT/ML Injectable Solution [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "978950",
    "drug_name": "{5 (dienogest 2 MG / estradiol valerate 2 MG Oral Tablet) / 17 (dienogest 3 MG / estradiol valerate2 MG Oral Tablet) / 2 (estradiol valerate 1 MG Oral Tablet) / 2 (estradiol valerate 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979092",
    "drug_name": "Hydroxychloroquine Sulfate 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979099",
    "drug_name": "POLYETHYLENE GLYCOL 3350 420000 MG / Potassium Chloride 1480 MG / Sodium Bicarbonate 5720 MG / Sodium Chloride 11200 MG Powder for Oral Solution [GaviLyte-N]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979464",
    "drug_name": "Hydrochlorothiazide 12.5 MG / Losartan Potassium 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979468",
    "drug_name": "Hydrochlorothiazide 12.5 MG / Losartan Potassium 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979471",
    "drug_name": "Hydrochlorothiazide 25 MG / Losartan Potassium 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979480",
    "drug_name": "Losartan Potassium 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979485",
    "drug_name": "Losartan Potassium 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "979492",
    "drug_name": "Losartan Potassium 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "984105",
    "drug_name": "Sodium phenylbutyrate 0.94 MG/MG Oral Powder",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991039",
    "drug_name": "Chlorpromazine hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991044",
    "drug_name": "Chlorpromazine hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991053",
    "drug_name": "Chlorpromazine hydrochloride 100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991061",
    "drug_name": "Dicyclomine Hydrochloride 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991082",
    "drug_name": "Dicyclomine Hydrochloride 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991086",
    "drug_name": "Dicyclomine Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991147",
    "drug_name": "Methadone Hydrochloride 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991188",
    "drug_name": "Chlorpromazine hydrochloride 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991194",
    "drug_name": "Chlorpromazine hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991332",
    "drug_name": "Chlorpromazine hydrochloride 30 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991336",
    "drug_name": "Chlorpromazine hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991486",
    "drug_name": "Codeine Phosphate 2 MG/ML / Promethazine Hydrochloride 1.25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "991528",
    "drug_name": "Dextromethorphan Hydrobromide 3 MG/ML / Promethazine Hydrochloride 1.25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992150",
    "drug_name": "methenamine hippurate 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992395",
    "drug_name": "gatifloxacin 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992432",
    "drug_name": "Promethazine Hydrochloride 1.25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992438",
    "drug_name": "Promethazine Hydrochloride 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992441",
    "drug_name": "Promethazine Hydrochloride 12.5 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992447",
    "drug_name": "Promethazine Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992454",
    "drug_name": "Promethazine Hydrochloride 25 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992475",
    "drug_name": "Promethazine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992481",
    "drug_name": "Promethazine Hydrochloride 50 MG Rectal Suppository [Promethegan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992656",
    "drug_name": "homatropine methylbromide 1.5 MG / Hydrocodone Bitartrate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992668",
    "drug_name": "homatropine methylbromide 0.3 MG/ML / Hydrocodone Bitartrate 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "992759",
    "drug_name": "Homatropine hydrobromide 50 MG/ML Ophthalmic Solution [Homatropaire]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993462",
    "drug_name": "midodrine hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993466",
    "drug_name": "midodrine hydrochloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993470",
    "drug_name": "midodrine hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993503",
    "drug_name": "12 HR Bupropion Hydrochloride 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993518",
    "drug_name": "12 HR Bupropion Hydrochloride 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993536",
    "drug_name": "12 HR Bupropion Hydrochloride 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993541",
    "drug_name": "24 HR Bupropion Hydrochloride 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993557",
    "drug_name": "24 HR Bupropion Hydrochloride 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993687",
    "drug_name": "Bupropion Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993691",
    "drug_name": "Bupropion Hydrochloride 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993755",
    "drug_name": "Acetaminophen 24 MG/ML / Codeine Phosphate 2.4 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993770",
    "drug_name": "Acetaminophen 300 MG / Codeine Phosphate 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993781",
    "drug_name": "Acetaminophen 300 MG / Codeine Phosphate 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993856",
    "drug_name": "lacosamide 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993890",
    "drug_name": "Acetaminophen 300 MG / Codeine Phosphate 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "993943",
    "drug_name": "Acetaminophen 325 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "994237",
    "drug_name": "Aspirin 325 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "994239",
    "drug_name": "Aspirin 325 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG Oral Capsule [Ascomp]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "994521",
    "drug_name": "12 HR Orphenadrine Citrate 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "994528",
    "drug_name": "Aspirin 385 MG / Caffeine 30 MG / Orphenadrine Citrate 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995218",
    "drug_name": "Hydroxyzine Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995232",
    "drug_name": "Hydroxyzine Pamoate 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995241",
    "drug_name": "Hydroxyzine Hydrochloride 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995253",
    "drug_name": "Hydroxyzine Pamoate 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995258",
    "drug_name": "Hydroxyzine Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995278",
    "drug_name": "Hydroxyzine Pamoate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995281",
    "drug_name": "Hydroxyzine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995443",
    "drug_name": "Codeine Phosphate 1.5 MG/ML / Guaifenesin 45 MG/ML Oral Solution [Mar-cof CG]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995599",
    "drug_name": "Ethambutol Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995607",
    "drug_name": "Ethambutol Hydrochloride 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995624",
    "drug_name": "Meclizine Hydrochloride 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995666",
    "drug_name": "Meclizine Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995686",
    "drug_name": "Meclizine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "995868",
    "drug_name": "Codeine Phosphate 2 MG/ML / Guaifenesin 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996097",
    "drug_name": "Dutasteride 0.5 MG / Tamsulosin hydrochloride 0.4 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996179",
    "drug_name": "vardenafil 10 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996561",
    "drug_name": "Memantine hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996571",
    "drug_name": "Memantine hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996572",
    "drug_name": "{21 (Memantine hydrochloride 10 MG Oral Tablet) / 28 (Memantine hydrochloride 5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996594",
    "drug_name": "24 HR Memantine hydrochloride 14 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996603",
    "drug_name": "24 HR Memantine hydrochloride 21 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996609",
    "drug_name": "24 HR Memantine hydrochloride 28 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996615",
    "drug_name": "24 HR Memantine hydrochloride 7 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996740",
    "drug_name": "Memantine hydrochloride 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996824",
    "drug_name": "Methylergonovine Maleate 0.2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "996921",
    "drug_name": "Clozapine 200 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997010",
    "drug_name": "Quinine Sulfate 324 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997170",
    "drug_name": "Codeine sulfate 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997220",
    "drug_name": "Donepezil hydrochloride 10 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997223",
    "drug_name": "Donepezil hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997226",
    "drug_name": "Donepezil hydrochloride 5 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997229",
    "drug_name": "Donepezil hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997287",
    "drug_name": "Codeine sulfate 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997296",
    "drug_name": "Codeine sulfate 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "997653",
    "drug_name": "nilotinib 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998189",
    "drug_name": "everolimus 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998561",
    "drug_name": "Miconazole Nitrate 0.0025 MG/MG / Zinc Oxide 0.15 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998671",
    "drug_name": "168 HR Clonidine 0.00417 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998675",
    "drug_name": "168 HR Clonidine 0.00833 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998679",
    "drug_name": "168 HR Clonidine 0.0125 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998685",
    "drug_name": "Acebutolol 400 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "998689",
    "drug_name": "Acebutolol 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "999961",
    "drug_name": "Glycopyrrolate 0.2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "999967",
    "drug_name": "Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "999986",
    "drug_name": "Amlodipine 10 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "999991",
    "drug_name": "Amlodipine 10 MG / Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "999996",
    "drug_name": "Amlodipine 5 MG / Hydrochlorothiazide 12.5 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000001",
    "drug_name": "Amlodipine 5 MG / Hydrochlorothiazide 25 MG / Olmesartan medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000048",
    "drug_name": "doxepin 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000054",
    "drug_name": "doxepin 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000058",
    "drug_name": "doxepin 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000064",
    "drug_name": "doxepin 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000070",
    "drug_name": "doxepin 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000076",
    "drug_name": "doxepin 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000091",
    "drug_name": "Doxepin Hydrochloride 50 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000097",
    "drug_name": "doxepin 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000114",
    "drug_name": "medroxyprogesterone acetate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000126",
    "drug_name": "1 ML medroxyprogesterone acetate 150 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000135",
    "drug_name": "medroxyprogesterone acetate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000141",
    "drug_name": "medroxyprogesterone acetate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000153",
    "drug_name": "1 ML medroxyprogesterone acetate 150 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000405",
    "drug_name": "norethindrone acetate 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000487",
    "drug_name": "{14 (Estrogens, Conjugated (USP) 0.625 MG / medroxyprogesterone acetate 5 MG Oral Tablet) / 14 (Estrogens, Conjugated (USP) 0.625 MG Oral Tablet) } Pack [Premphase 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000491",
    "drug_name": "{28 (Estrogens, Conjugated (USP) 0.3 MG / medroxyprogesterone acetate 1.5 MG Oral Tablet) } Pack [Prempro 0.3/1.5 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000497",
    "drug_name": "{28 (Estrogens, Conjugated (USP) 0.45 MG / medroxyprogesterone acetate 1.5 MG Oral Tablet) } Pack [Prempro 0.45/1.5 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000499",
    "drug_name": "{28 (Estrogens, Conjugated (USP) 0.625 MG / medroxyprogesterone acetate 2.5 MG Oral Tablet) } Pack [Prempro 0.625/2.5 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000500",
    "drug_name": "{28 (Estrogens, Conjugated (USP) 0.625 MG / medroxyprogesterone acetate 5 MG Oral Tablet) } Pack [Prempro 0.625/5 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000647",
    "drug_name": "Pilocarpine Hydrochloride 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000862",
    "drug_name": "Pilocarpine Hydrochloride 20 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000897",
    "drug_name": "Pilocarpine Hydrochloride 40 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1000913",
    "drug_name": "Pilocarpine Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1001004",
    "drug_name": "Pilocarpine Hydrochloride 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1001689",
    "drug_name": "{2 (480 ML) (Magnesium Sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1001690",
    "drug_name": "{2 (480 ML) (Magnesium Sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML Oral Solution) } Pack [Suprep Bowel Prep Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1005928",
    "drug_name": "ulipristal acetate 30 MG Oral Tablet [Ella]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1006065",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Altavera 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1006120",
    "drug_name": "Sulfacetamide Sodium 100 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1006608",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 40 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1006688",
    "drug_name": "Sulfacetamide Sodium 100 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1006801",
    "drug_name": "Clozapine 150 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1009145",
    "drug_name": "Amphetamine aspartate 1.875 MG / Amphetamine Sulfate 1.875 MG / Dextroamphetamine saccharate 1.875 MG / Dextroamphetamine Sulfate 1.875 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1009339",
    "drug_name": "bimatoprost 0.1 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1009341",
    "drug_name": "bimatoprost 0.1 MG/ML Ophthalmic Solution [Lumigan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1010600",
    "drug_name": "Buprenorphine 2 MG / Naloxone 0.5 MG Sublingual Film",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1010604",
    "drug_name": "Buprenorphine 8 MG / Naloxone 2 MG Sublingual Film",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1010696",
    "drug_name": "Carbinoxamine maleate 0.8 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1010739",
    "drug_name": "Lidocaine Hydrochloride 20 MG/ML Mucous Membrane Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1010878",
    "drug_name": "Lidocaine Hydrochloride 40 MG/ML Mucous Membrane Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1011080",
    "drug_name": "Dexamethasone 0.5 MG/ML / Tobramycin 3 MG/ML Ophthalmic Suspension [Tobradex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1011703",
    "drug_name": "Lidocaine Hydrochloride 0.035 MG/MG Ophthalmic Gel [Akten]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1011736",
    "drug_name": "aliskiren 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1011739",
    "drug_name": "aliskiren 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1012021",
    "drug_name": "Prednisolone sodium phosphate 2.5 MG/ML / Sulfacetamide Sodium 100 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1012895",
    "drug_name": "fingolimod 0.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1012904",
    "drug_name": "Carbinoxamine maleate 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013626",
    "drug_name": "drospirenone 3 MG / Ethinyl Estradiol 0.02 MG / levomefolate calcium 0.451 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013629",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG / levomefolate calcium 0.451 MG Oral Tablet) / 4(levomefolate calcium 0.451 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013636",
    "drug_name": "calcipotriene 0.00005 MG/MG Topical Ointment [Calcitrene]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013659",
    "drug_name": "24 HR Minocycline 105 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013662",
    "drug_name": "24 HR Minocycline 55 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013665",
    "drug_name": "24 HR Minocycline 80 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1013930",
    "drug_name": "12 HR Clonidine Hydrochloride 0.1 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1014314",
    "drug_name": "Triamcinolone Acetonide 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1020064",
    "drug_name": "risedronate sodium 35 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1020065",
    "drug_name": "{4 (risedronate sodium 35 MG Delayed Release Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1020155",
    "drug_name": "{84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Introvale 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1037045",
    "drug_name": "dabigatran etexilate 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1037049",
    "drug_name": "dabigatran etexilate 150 MG Oral Capsule [Pradaxa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1037179",
    "drug_name": "dabigatran etexilate 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1037181",
    "drug_name": "dabigatran etexilate 75 MG Oral Capsule [Pradaxa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1037185",
    "drug_name": "{24 (Ethinyl Estradiol 0.01 MG / norethindrone acetate 1 MG Oral Tablet) / 2 (Ethinyl Estradiol 0.01MG Oral Tablet) / 2 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Lo Loestrin Fe 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1040031",
    "drug_name": "Lurasidone Hydrochloride 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1040041",
    "drug_name": "Lurasidone Hydrochloride 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1040058",
    "drug_name": "Dextromethorphan Hydrobromide 20 MG / Quinidine Sulfate 10 MG Oral Capsule [Nuedexta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1041518",
    "drug_name": "azelaic acid 0.15 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1043563",
    "drug_name": "24 HR Metformin hydrochloride 1000 MG / saxagliptin 2.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1043570",
    "drug_name": "24 HR Metformin hydrochloride 1000 MG / saxagliptin 5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1043578",
    "drug_name": "24 HR Metformin hydrochloride 500 MG / saxagliptin 5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1044427",
    "drug_name": "Acetaminophen 20 MG/ML / Hydrocodone Bitartrate 0.667 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1045402",
    "drug_name": "dasatinib 140 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1045406",
    "drug_name": "dasatinib 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1046770",
    "drug_name": "12 HR Hyoscyamine Sulfate 0.375 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1046771",
    "drug_name": "12 HR Hyoscyamine Sulfate 0.375 MG Extended Release Oral Tablet [Levbid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1046982",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1046985",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1047881",
    "drug_name": "Hyoscyamine Sulfate 0.025 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1047895",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1047905",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1047907",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Oral Tablet [Levsin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1047908",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Sublingual Tablet [Levsin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1048445",
    "drug_name": "Colestipol Hydrochloride 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1048450",
    "drug_name": "Colestipol Hydrochloride 5000 MG Granules for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049214",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049216",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 10 MG Oral Tablet [Endocet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049221",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049223",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 5 MG Oral Tablet [Endocet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049225",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049227",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 7.5 MG Oral Tablet [Endocet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049580",
    "drug_name": "Acetaminophen 65 MG/ML / Oxycodone Hydrochloride 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049604",
    "drug_name": "Oxycodone Hydrochloride 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049611",
    "drug_name": "Oxycodone Hydrochloride 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049615",
    "drug_name": "Oxycodone Hydrochloride 20 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049618",
    "drug_name": "Oxycodone Hydrochloride 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049621",
    "drug_name": "Oxycodone Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049635",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049683",
    "drug_name": "Oxycodone Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049686",
    "drug_name": "Oxycodone Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1049696",
    "drug_name": "Oxycodone Hydrochloride 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1050492",
    "drug_name": "drospirenone 3 MG / Ethinyl Estradiol 0.03 MG / levomefolate calcium 0.451 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1050493",
    "drug_name": "{21 (drospirenone 3 MG / Ethinyl Estradiol 0.03 MG / levomefolate calcium 0.451 MG Oral Tablet) / 7(levomefolate calcium 0.451 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1052658",
    "drug_name": "etravirine 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1053697",
    "drug_name": "Nystatin 100 UNT/MG / Triamcinolone Acetonide 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1053753",
    "drug_name": "Nystatin 100000 UNT/ML / Triamcinolone Acetonide 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085633",
    "drug_name": "Triamcinolone Acetonide 0.00025 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085636",
    "drug_name": "Triamcinolone Acetonide 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085640",
    "drug_name": "Triamcinolone Acetonide 0.005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085644",
    "drug_name": "Triamcinolone Acetonide 0.25 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085686",
    "drug_name": "Triamcinolone Acetonide 5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085728",
    "drug_name": "Triamcinolone Acetonide 0.001 MG/MG Oral Paste",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085736",
    "drug_name": "Triamcinolone Acetonide 0.147 MG/ML Topical Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085741",
    "drug_name": "Triamcinolone Acetonide 0.25 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085745",
    "drug_name": "Triamcinolone Acetonide 1 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085767",
    "drug_name": "Triamcinolone Acetonide 0.001 MG/MG Oral Paste [Oralone]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1085816",
    "drug_name": "spinosad 9 MG/ML Medicated Shampoo",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1086772",
    "drug_name": "vilazodone hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1086778",
    "drug_name": "vilazodone hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1086784",
    "drug_name": "vilazodone hydrochloride 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1088774",
    "drug_name": "potassium bicarbonate 25 MEQ Effervescent Oral Tablet [Effer-K]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1088934",
    "drug_name": "Chlorzoxazone 375 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1088936",
    "drug_name": "Chlorzoxazone 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1090641",
    "drug_name": "Triamcinolone Acetonide 0.0005 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1090992",
    "drug_name": "Ethinyl Estradiol 0.005 MG / norethindrone acetate 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1090996",
    "drug_name": "Ethinyl Estradiol 0.005 MG / norethindrone acetate 1 MG Oral Tablet [Jinteli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091133",
    "drug_name": "Methylphenidate Hydrochloride 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091145",
    "drug_name": "8 HR Methylphenidate Hydrochloride 10 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091150",
    "drug_name": "Methylphenidate Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091152",
    "drug_name": "Methylphenidate Hydrochloride 10 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091155",
    "drug_name": "24 HR Methylphenidate Hydrochloride 18 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091170",
    "drug_name": "24 HR Methylphenidate Hydrochloride 27 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091185",
    "drug_name": "24 HR Methylphenidate Hydrochloride 36 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091210",
    "drug_name": "24 HR Methylphenidate Hydrochloride 54 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091225",
    "drug_name": "8 HR Methylphenidate Hydrochloride 20 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091322",
    "drug_name": "Methylphenidate Hydrochloride 5 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091339",
    "drug_name": "Clindamycin 10 MG/ML Medicated Pad [Clindacin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091341",
    "drug_name": "Methylphenidate Hydrochloride 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091389",
    "drug_name": "Methylphenidate Hydrochloride 2.5 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091392",
    "drug_name": "Methylphenidate Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091497",
    "drug_name": "Methylphenidate Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091623",
    "drug_name": "24 HR Diltiazem Hydrochloride 420 MG Extended Release Oral Tablet [Matzim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091629",
    "drug_name": "24 HR Diltiazem Hydrochloride 240 MG Extended Release Oral Tablet [Matzim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091632",
    "drug_name": "24 HR Diltiazem Hydrochloride 180 MG Extended Release Oral Tablet [Matzim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091635",
    "drug_name": "24 HR Diltiazem Hydrochloride 300 MG Extended Release Oral Tablet [Matzim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091638",
    "drug_name": "24 HR Diltiazem Hydrochloride 360 MG Extended Release Oral Tablet [Matzim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091646",
    "drug_name": "Azilsartan Medoxomil 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091652",
    "drug_name": "azilsartan medoxomil 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1091839",
    "drug_name": "Roflumilast 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1092357",
    "drug_name": "rufinamide 40 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1093060",
    "drug_name": "Clomiphene Citrate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1093073",
    "drug_name": "Clomiphene Citrate 50 MG Oral Tablet [Clomid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1094104",
    "drug_name": "Phenazopyridine hydrochloride 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1094107",
    "drug_name": "Phenazopyridine hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1094543",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Briellyn 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1095227",
    "drug_name": "{6 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.05 MG Oral Tablet) / 10 (Ethinyl Estradiol 0.03 MG/ Levonorgestrel 0.125 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.04 MG / Levonorgestrel 0.075 MG Oral",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1095229",
    "drug_name": "Flavoxate Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1095362",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Balziva 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1095712",
    "drug_name": "24 HR Nevirapine 400 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098134",
    "drug_name": "24 HR Niacin 1000 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098141",
    "drug_name": "24 HR Niacin 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098143",
    "drug_name": "24 HR Niacin 750 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098608",
    "drug_name": "24 HR lamotrigine 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098649",
    "drug_name": "Nefazodone hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098666",
    "drug_name": "Nefazodone hydrochloride 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098670",
    "drug_name": "Nefazodone hydrochloride 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098674",
    "drug_name": "Nefazodone hydrochloride 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1098678",
    "drug_name": "Nefazodone hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099026",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 4 (Inert Ingredients 1 MG Oral Tablet) } Pack [Loryna 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099269",
    "drug_name": "{21 (drospirenone 3 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Syeda 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099288",
    "drug_name": "Desipramine Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099292",
    "drug_name": "Desipramine Hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099296",
    "drug_name": "Desipramine Hydrochloride 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099300",
    "drug_name": "Desipramine Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099304",
    "drug_name": "Desipramine Hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099316",
    "drug_name": "Desipramine Hydrochloride 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099503",
    "drug_name": "loteprednol etabonate 0.005 MG/MG Ophthalmic Ointment [Lotemax]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099563",
    "drug_name": "24 HR Divalproex Sodium 250 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099569",
    "drug_name": "24 HR Divalproex Sodium 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099596",
    "drug_name": "Divalproex Sodium 125 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099625",
    "drug_name": "Divalproex Sodium 125 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099678",
    "drug_name": "Divalproex Sodium 250 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099681",
    "drug_name": "Valproic Acid 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099687",
    "drug_name": "Valproic Acid 50 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1099870",
    "drug_name": "Divalproex Sodium 500 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1100057",
    "drug_name": "ciclopirox 80 MG/ML Topical Solution [Ciclodan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1100075",
    "drug_name": "abiraterone acetate 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1100184",
    "drug_name": "Donepezil hydrochloride 23 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1100706",
    "drug_name": "Linagliptin 5 MG Oral Tablet [Tradjenta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1101926",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 25 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1101932",
    "drug_name": "24 HR dexmethylphenidate hydrochloride 35 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1102273",
    "drug_name": "Rilpivirine 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1102277",
    "drug_name": "Rilpivirine 25 MG Oral Tablet [Edurant]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1111018",
    "drug_name": "Sapropterin dihydrochloride 100 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1111106",
    "drug_name": "fidaxomicin 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1111641",
    "drug_name": "1 ML glatiramer acetate 20 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1112715",
    "drug_name": "{28 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.09 MG Oral Tablet) } Pack [Amethyst 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1113046",
    "drug_name": "amylase 15000 UNT / lipase 3000 UNT / protease 9500 UNT Delayed Release Oral Capsule [Creon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1114074",
    "drug_name": "Vandetanib 100 MG Oral Tablet [Caprelsa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1114096",
    "drug_name": "Vandetanib 300 MG Oral Tablet [Caprelsa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1114202",
    "drug_name": "rivaroxaban 10 MG Oral Tablet [Xarelto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1114466",
    "drug_name": "Nitroglycerin 0.004 MG/MG Rectal Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1114479",
    "drug_name": "24 HR Pramipexole dihydrochloride 2.25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1114485",
    "drug_name": "24 HR Pramipexole dihydrochloride 3.75 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1115698",
    "drug_name": "Oseltamivir 6 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1115700",
    "drug_name": "Oseltamivir 6 MG/ML Oral Suspension [Tamiflu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1116349",
    "drug_name": "24 HR Naproxen 750 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1116635",
    "drug_name": "Ticagrelor 90 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1116639",
    "drug_name": "Ticagrelor 90 MG Oral Tablet [Brilinta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1116758",
    "drug_name": "chloroquine phosphate 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1117531",
    "drug_name": "chloroquine phosphate 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1119312",
    "drug_name": "Hydroxychloroquine Sulfate 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1119400",
    "drug_name": "everolimus 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1120068",
    "drug_name": "Magnesium Sulfate 0.0277 MEQ/ML / potassium sulfate 0.0374 MEQ/ML / sodium sulfate 0.257 MEQ/ML OralSolution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1145932",
    "drug_name": "1 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1146690",
    "drug_name": "24 HR lamotrigine 250 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1147228",
    "drug_name": "Vemurafenib 240 MG Oral Tablet [Zelboraf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1147334",
    "drug_name": "emtricitabine 200 MG / Rilpivirine 25 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148141",
    "drug_name": "3 ML icatibant 10 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148502",
    "drug_name": "crizotinib 200 MG Oral Capsule [Xalkori]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148506",
    "drug_name": "crizotinib 250 MG Oral Capsule [Xalkori]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148797",
    "drug_name": "12 HR tapentadol 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148800",
    "drug_name": "12 HR tapentadol 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148803",
    "drug_name": "12 HR tapentadol 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148807",
    "drug_name": "12 HR tapentadol 250 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1148809",
    "drug_name": "12 HR tapentadol 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149355",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Oral Tablet [Oscimin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149367",
    "drug_name": "12 HR tapentadol 100 MG Extended Release Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149370",
    "drug_name": "12 HR tapentadol 150 MG Extended Release Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149373",
    "drug_name": "12 HR tapentadol 200 MG Extended Release Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149376",
    "drug_name": "12 HR tapentadol 250 MG Extended Release Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149378",
    "drug_name": "12 HR tapentadol 50 MG Extended Release Oral Tablet [Nucynta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149617",
    "drug_name": "COLLAGENASE 0.25 UNT/MG Topical Ointment [Santyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149632",
    "drug_name": "84 HR Estradiol 0.00313 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149663",
    "drug_name": "Povidone-Iodine 50 MG/ML Ophthalmic Solution [Betadine]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1149667",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MGOral Tablet) } Pack [Camrese 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1150836",
    "drug_name": "Levobunolol Hydrochloride 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1190110",
    "drug_name": "Fluoxetine 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1190225",
    "drug_name": "120 ACTUAT Albuterol 0.1 MG/ACTUAT / Ipratropium Bromide 0.02 MG/ACTUAT Inhalation Spray [Combivent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1190568",
    "drug_name": "Atropine Sulfate 0.005 MG/ML / Diphenoxylate Hydrochloride 0.5 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1190572",
    "drug_name": "Atropine Sulfate 0.025 MG / Diphenoxylate Hydrochloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1190655",
    "drug_name": "Atropine Sulfate 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191013",
    "drug_name": "Proparacaine hydrochloride 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191250",
    "drug_name": "2 ML Naloxone Hydrochloride 1 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191256",
    "drug_name": "Fluocinolone Acetonide 0.00025 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191299",
    "drug_name": "Fluocinolone Acetonide 0.1 MG/ML Otic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191302",
    "drug_name": "Fluocinolone Acetonide 0.1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191307",
    "drug_name": "Fluocinolone Acetonide 0.1 MG/ML Topical Oil",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191310",
    "drug_name": "Fluocinolone Acetonide 0.1 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1191315",
    "drug_name": "Fluocinolone Acetonide 0.25 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1193337",
    "drug_name": "ruxolitinib 10 MG Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1193341",
    "drug_name": "ruxolitinib 5 MG Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1193345",
    "drug_name": "ruxolitinib 15 MG Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1193349",
    "drug_name": "ruxolitinib 20 MG Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1193353",
    "drug_name": "ruxolitinib 25 MG Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1232084",
    "drug_name": "rivaroxaban 15 MG Oral Tablet [Xarelto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1232088",
    "drug_name": "rivaroxaban 20 MG Oral Tablet [Xarelto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1232194",
    "drug_name": "Zolpidem tartrate 1.75 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1232202",
    "drug_name": "Zolpidem tartrate 3.5 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1233850",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 4 (Inert Ingredients 1 MG Oral Tablet) } Pack [Vestura]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234238",
    "drug_name": "1 ML Alprostadil 0.01 MG/ML Cartridge [Edex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234240",
    "drug_name": "1 ML Alprostadil 0.02 MG/ML Cartridge [Edex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234242",
    "drug_name": "1 ML Alprostadil 0.04 MG/ML Cartridge [Edex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234396",
    "drug_name": "hydrocortisone acetate 10 MG/ML / Pramoxine hydrochloride 10 MG/ML Topical Lotion [Pramosone]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234514",
    "drug_name": "hydrocortisone acetate 25 MG/ML / Pramoxine hydrochloride 10 MG/ML Topical Lotion [Pramosone]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234519",
    "drug_name": "hydrocortisone acetate 10 MG/ML / Pramoxine hydrochloride 10 MG/ML Topical Cream [Pramosone]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1234571",
    "drug_name": "Phenylephrine Hydrochloride 100 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1235247",
    "drug_name": "Lurasidone Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1235267",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) } Pack [CamreseLo 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1235591",
    "drug_name": "Raltegravir 100 MG Chewable Tablet [ISENTRESS]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1235595",
    "drug_name": "Raltegravir 25 MG Chewable Tablet [ISENTRESS]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1235867",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /Norethindrone 0.75 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1235874",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Philith 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1236632",
    "drug_name": "darunavir 100 MG/ML Oral Suspension [Prezista]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242231",
    "drug_name": "lenalidomide 2.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242233",
    "drug_name": "lenalidomide 2.5 MG Oral Capsule [Revlimid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242404",
    "drug_name": "24 HR Doxazosin 4 MG Extended Release Oral Tablet [Cardura]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242408",
    "drug_name": "24 HR Doxazosin 8 MG Extended Release Oral Tablet [Cardura]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242705",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Disintegrating Oral Tablet [Nulev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242786",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Alyacen 1/35]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242787",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /Norethindrone 0.75 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1242998",
    "drug_name": "vismodegib 150 MG Oral Capsule [Erivedge]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243010",
    "drug_name": "axitinib 1 MG Oral Tablet [Inlyta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243014",
    "drug_name": "axitinib 5 MG Oral Tablet [Inlyta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243026",
    "drug_name": "Linagliptin 2.5 MG / Metformin hydrochloride 1000 MG Oral Tablet [Jentadueto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243033",
    "drug_name": "Linagliptin 2.5 MG / Metformin hydrochloride 500 MG Oral Tablet [Jentadueto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243040",
    "drug_name": "Linagliptin 2.5 MG / Metformin hydrochloride 850 MG Oral Tablet [Jentadueto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243052",
    "drug_name": "ivacaftor 150 MG Oral Tablet [Kalydeco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243229",
    "drug_name": "Tenofovir disoproxil fumarate 250 MG Oral Tablet [Viread]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243326",
    "drug_name": "Tenofovir disoproxil fumarate 150 MG Oral Tablet [Viread]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243330",
    "drug_name": "Tenofovir disoproxil fumarate 200 MG Oral Tablet [Viread]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243346",
    "drug_name": "Tenofovir disoproxil fumarate 0.04 MG/MG Oral Powder [Viread]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243585",
    "drug_name": "Flurbiprofen sodium 0.3 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243833",
    "drug_name": "24 HR metformin hydrochloride 1000 MG / sitagliptin phosphate 100 MG Extended Release Oral Tablet [Janumet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243843",
    "drug_name": "24 HR metformin hydrochloride 1000 MG / sitagliptin phosphate 50 MG Extended Release Oral Tablet [Janumet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1243848",
    "drug_name": "24 HR metformin hydrochloride 500 MG / sitagliptin phosphate 50 MG Extended Release Oral Tablet [Janumet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1244214",
    "drug_name": "Budesonide 3 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1244611",
    "drug_name": "tafluprost 0.015 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1244634",
    "drug_name": "Betamethasone valerate 1.2 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1245001",
    "drug_name": "eltrombopag 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1245026",
    "drug_name": "Sodium Chloride 35 MG/ML Inhalation Solution [Hyper-Sal]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1245262",
    "drug_name": "Mifepristone 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1245373",
    "drug_name": "Digoxin 0.25 MG Oral Tablet [Digox]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1245443",
    "drug_name": "Digoxin 0.125 MG Oral Tablet [Digox]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1245919",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Marlissa 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1246096",
    "drug_name": "Naftifine hydrochloride 20 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1246290",
    "drug_name": "120 ACTUAT Budesonide 0.08 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1246306",
    "drug_name": "120 ACTUAT Budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1246315",
    "drug_name": "60 ACTUAT Budesonide 0.08 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1246317",
    "drug_name": "60 ACTUAT Budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0045 MG/ACTUAT Metered Dose Inhaler [Symbicort]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1246319",
    "drug_name": "formoterol fumarate 0.01 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1248057",
    "drug_name": "Phenylephrine Hydrochloride 1 MG/ML / Promethazine Hydrochloride 1.25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1249631",
    "drug_name": "FLUOROMETHOLONE ACETATE 1 MG/ML Ophthalmic Suspension [Flarex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1250090",
    "drug_name": "Nonoxynol-9 0.03 MG/MG Vaginal Gel [Gynol II]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1250723",
    "drug_name": "etravirine 25 MG Oral Tablet [Intelence]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251323",
    "drug_name": "Ethinyl Estradiol 0.0025 MG / norethindrone acetate 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251334",
    "drug_name": "{28 (Ethinyl Estradiol 0.0025 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251336",
    "drug_name": "{28 (Ethinyl Estradiol 0.005 MG / norethindrone acetate 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251495",
    "drug_name": "84 HR Estradiol 0.00208 MG/HR / norethindrone acetate 0.00583 MG/HR Transdermal System [Combipatch]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251501",
    "drug_name": "84 HR Estradiol 0.00208 MG/HR / norethindrone acetate 0.0104 MG/HR Transdermal System [Combipatch]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251903",
    "drug_name": "Ethacrynic Acid 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251914",
    "drug_name": "24 HR Rotigotine 0.0417 MG/HR Transdermal System [Neupro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251918",
    "drug_name": "24 HR Rotigotine 0.125 MG/HR Transdermal System [Neupro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1251922",
    "drug_name": "24 HR Rotigotine 0.333 MG/HR Transdermal System [Neupro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1252016",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack [Viorele 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1291082",
    "drug_name": "hydrocortisone acetate 25 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1291085",
    "drug_name": "hydrocortisone acetate 30 MG Rectal Suppository",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1291306",
    "drug_name": "avanafil 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1291365",
    "drug_name": "avanafil 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1291369",
    "drug_name": "avanafil 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1293504",
    "drug_name": "Caffeine 100 MG / Ergotamine Tartrate 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1293639",
    "drug_name": "Caffeine 100 MG / Ergotamine Tartrate 2 MG Rectal Suppository [Migergot]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1293864",
    "drug_name": "Ergotamine Tartrate 2 MG Sublingual Tablet [Ergomar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1294619",
    "drug_name": "bismuth subcitrate 140 MG / Metronidazole 125 MG / tetracycline hydrochloride 125 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1294621",
    "drug_name": "bismuth subcitrate 140 MG / Metronidazole 125 MG / tetracycline hydrochloride 125 MG Oral Capsule [Pylera]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1297278",
    "drug_name": "Lurasidone Hydrochloride 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1297658",
    "drug_name": "Esomeprazole 2.5 MG Granules for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1297753",
    "drug_name": "Betaxolol Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1297757",
    "drug_name": "Betaxolol Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1297761",
    "drug_name": "Esomeprazole 5 MG Granules for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298066",
    "drug_name": "Cyclopentolate hydrochloride 10 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298088",
    "drug_name": "Flurazepam Hydrochloride 15 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298091",
    "drug_name": "Flurazepam Hydrochloride 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298360",
    "drug_name": "Cyclopentolate hydrochloride 2 MG/ML / Phenylephrine Hydrochloride 10 MG/ML Ophthalmic Solution [Cyclomydril]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298816",
    "drug_name": "Molindone Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298906",
    "drug_name": "Molindone Hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1298910",
    "drug_name": "Molindone Hydrochloride 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1299896",
    "drug_name": "Moexipril hydrochloride 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1299897",
    "drug_name": "Moexipril hydrochloride 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1299903",
    "drug_name": "Tiagabine hydrochloride 12 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1299909",
    "drug_name": "Tiagabine hydrochloride 16 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1299911",
    "drug_name": "Tiagabine hydrochloride 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1299917",
    "drug_name": "Tiagabine hydrochloride 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300272",
    "drug_name": "Ketoconazole 20 MG/ML Topical Foam [Ketodan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300538",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Dasetta 1/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300791",
    "drug_name": "24 HR mirabegron 25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300797",
    "drug_name": "24 HR mirabegron 25 MG Extended Release Oral Tablet [Myrbetriq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300801",
    "drug_name": "24 HR mirabegron 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300803",
    "drug_name": "24 HR mirabegron 50 MG Extended Release Oral Tablet [Myrbetriq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1300911",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Wera 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1304979",
    "drug_name": "icosapent ethyl 1000 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1304988",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Falmina 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1305089",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Norgestrel 0.3 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Elinest 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1305268",
    "drug_name": "NDA201739 0.15 ML Epinephrine 1 MG/ML Auto-Injector [Auvi-Q]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1305269",
    "drug_name": "NDA201739 0.3 ML Epinephrine 1 MG/ML Auto-Injector [Auvi-Q]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1305757",
    "drug_name": "{7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1306298",
    "drug_name": "cobicistat 150 MG / elvitegravir 150 MG / emtricitabine 200 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet [Stribild]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1306898",
    "drug_name": "24 HR Hydromorphone Hydrochloride 32 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307056",
    "drug_name": "Buprenorphine 4 MG / Naloxone 1 MG Sublingual Film",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307061",
    "drug_name": "Buprenorphine 12 MG / Naloxone 3 MG Sublingual Film",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307309",
    "drug_name": "enzalutamide 40 MG Oral Capsule [Xtandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307415",
    "drug_name": "linaclotide 0.145 MG Oral Capsule [Linzess]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307421",
    "drug_name": "linaclotide 0.29 MG Oral Capsule [Linzess]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307427",
    "drug_name": "sildenafil 10 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307624",
    "drug_name": "bosutinib 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307630",
    "drug_name": "bosutinib 100 MG Oral Tablet [Bosulif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307633",
    "drug_name": "bosutinib 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1307635",
    "drug_name": "bosutinib 500 MG Oral Tablet [Bosulif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1308428",
    "drug_name": "everolimus 2 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1308430",
    "drug_name": "everolimus 3 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1308432",
    "drug_name": "everolimus 5 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1308569",
    "drug_name": "24 HR rivastigmine 0.554 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1310525",
    "drug_name": "teriflunomide 14 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1310533",
    "drug_name": "teriflunomide 7 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1311535",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1312408",
    "drug_name": "regorafenib 40 MG Oral Tablet [Stivarga]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1312625",
    "drug_name": "loteprednol etabonate 0.005 MG/MG Ophthalmic Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1313112",
    "drug_name": "Phenytoin 25 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1313785",
    "drug_name": "Cysteamine 4.4 MG/ML Ophthalmic Solution [Cystaran]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1313884",
    "drug_name": "Phenytoin 25 MG/ML Oral Suspension [Dilantin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1313885",
    "drug_name": "Phenytoin 50 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1313887",
    "drug_name": "Phenytoin 50 MG Chewable Tablet [Dilantin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1314763",
    "drug_name": "Tobramycin 75 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356074",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Kurvelo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356557",
    "drug_name": "perampanel 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356563",
    "drug_name": "perampanel 2 MG Oral Tablet [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356570",
    "drug_name": "perampanel 4 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356572",
    "drug_name": "perampanel 4 MG Oral Tablet [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356574",
    "drug_name": "perampanel 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356576",
    "drug_name": "perampanel 6 MG Oral Tablet [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356578",
    "drug_name": "perampanel 8 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356580",
    "drug_name": "perampanel 8 MG Oral Tablet [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356582",
    "drug_name": "perampanel 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356584",
    "drug_name": "perampanel 10 MG Oral Tablet [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356586",
    "drug_name": "perampanel 12 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1356588",
    "drug_name": "perampanel 12 MG Oral Tablet [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1357010",
    "drug_name": "Brompheniramine Maleate 0.4 MG/ML / Dextromethorphan Hydrobromide 2 MG/ML / Pseudoephedrine Hydrochloride 6 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1357541",
    "drug_name": "tofacitinib 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1357547",
    "drug_name": "tofacitinib 5 MG Oral Tablet [Xeljanz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1358762",
    "drug_name": "Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1358765",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Junel Fe 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1358775",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Microgestin Fe 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1358776",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1358780",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Junel 1/20 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359020",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Microgestin 1/20 21Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359025",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75MG Oral Tablet) } Pack [Junel Fe 1.5/30 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359027",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75MG Oral Tablet) } Pack [Microgestin Fe 1.5/30 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359030",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Junel 1.5/30 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359032",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Microgestin 1.5/30 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359105",
    "drug_name": "Diclofenac Sodium 75 MG / Misoprostol 0.2 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359123",
    "drug_name": "Estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359124",
    "drug_name": "{28 (Estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359126",
    "drug_name": "Estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359127",
    "drug_name": "{28 (Estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359129",
    "drug_name": "{28 (Estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Mimvey]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359134",
    "drug_name": "{5 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.03MG / norethindrone acetate 1 MG Oral Tablet) / 9 (Ethinyl Estradiol 0.035 MG / norethindrone acetate",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359135",
    "drug_name": "{5 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.03MG / norethindrone acetate 1 MG Oral Tablet) / 9 (Ethinyl Estradiol 0.035 MG / norethindrone acetate",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1359269",
    "drug_name": "darunavir 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1361563",
    "drug_name": "0.36 ML follitropin beta 833 UNT/ML Cartridge [Follistim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1361569",
    "drug_name": "0.72 ML follitropin beta 833 UNT/ML Cartridge [Follistim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1361572",
    "drug_name": "1.08 ML follitropin beta 833 UNT/ML Cartridge [Follistim]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1362706",
    "drug_name": "Mexiletine Hydrochloride 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1362712",
    "drug_name": "Mexiletine Hydrochloride 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1362720",
    "drug_name": "Mexiletine Hydrochloride 250 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1363279",
    "drug_name": "cabozantinib 20 MG Oral Capsule [Cometriq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1363408",
    "drug_name": "{84 (cabozantinib 20 MG Oral Capsule [Cometriq]) / 28 (cabozantinib 80 MG Oral Capsule [Cometriq]) }Pack [Cometriq 140 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1363410",
    "drug_name": "{28 (cabozantinib 20 MG Oral Capsule [Cometriq]) / 28 (cabozantinib 80 MG Oral Capsule [Cometriq]) }Pack [Cometriq 100 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364114",
    "drug_name": "1 ML pasireotide 0.3 MG/ML Injection [Signifor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364118",
    "drug_name": "1 ML pasireotide 0.6 MG/ML Injection [Signifor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364122",
    "drug_name": "1 ML pasireotide 0.9 MG/ML Injection [Signifor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364358",
    "drug_name": "ponatinib 15 MG Oral Tablet [Iclusig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364362",
    "drug_name": "ponatinib 45 MG Oral Tablet [Iclusig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364441",
    "drug_name": "apixaban 2.5 MG Oral Tablet [Eliquis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364447",
    "drug_name": "apixaban 5 MG Oral Tablet [Eliquis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364477",
    "drug_name": "teduglutide 5 MG Injection [Gattex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364490",
    "drug_name": "lomitapide 10 MG Oral Capsule [Juxtapid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364494",
    "drug_name": "lomitapide 20 MG Oral Capsule [Juxtapid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364498",
    "drug_name": "lomitapide 5 MG Oral Capsule [Juxtapid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364515",
    "drug_name": "Bedaquiline 100 MG Oral Tablet [Sirturo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364581",
    "drug_name": "{84 (cabozantinib 20 MG Oral Capsule [Cometriq]) } Pack [Cometriq 60 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1364848",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Chateal 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1365653",
    "drug_name": "24 HR oxcarbazepine 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1365842",
    "drug_name": "24 HR oxcarbazepine 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1365844",
    "drug_name": "24 HR oxcarbazepine 600 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1365866",
    "drug_name": "nepafenac 3 MG/ML Ophthalmic Suspension [Ilevro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1365899",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Mono-Linyah 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1366192",
    "drug_name": "clobazam 2.5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1366550",
    "drug_name": "24 HR Budesonide 9 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1367410",
    "drug_name": "Ergocalciferol 1.25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1367436",
    "drug_name": "21 DAY Ethinyl Estradiol 0.000625 MG/HR / Etonogestrel 0.005 MG/HR Vaginal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368006",
    "drug_name": "alogliptin 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368018",
    "drug_name": "alogliptin 6.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368034",
    "drug_name": "alogliptin 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368385",
    "drug_name": "alogliptin 12.5 MG / Metformin hydrochloride 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368392",
    "drug_name": "alogliptin 12.5 MG / Metformin hydrochloride 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368410",
    "drug_name": "alogliptin 12.5 MG / pioglitazone 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368424",
    "drug_name": "alogliptin 25 MG / pioglitazone 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368431",
    "drug_name": "alogliptin 25 MG / pioglitazone 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368438",
    "drug_name": "alogliptin 25 MG / pioglitazone 45 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368453",
    "drug_name": "glycerol phenylbutyrate 1100 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1368954",
    "drug_name": "mesalamine 400 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369589",
    "drug_name": "SULFONATED PHENOL 500 MG/ML / Sulfuric acid 300 MG/ML Medicated Pad [Debacterol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369718",
    "drug_name": "pomalidomide 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369724",
    "drug_name": "pomalidomide 1 MG Oral Capsule [Pomalyst]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369726",
    "drug_name": "pomalidomide 2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369728",
    "drug_name": "pomalidomide 2 MG Oral Capsule [Pomalyst]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369730",
    "drug_name": "pomalidomide 3 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369732",
    "drug_name": "pomalidomide 3 MG Oral Capsule [Pomalyst]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369734",
    "drug_name": "pomalidomide 4 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369736",
    "drug_name": "pomalidomide 4 MG Oral Capsule [Pomalyst]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369737",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Estarylla 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369770",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1369831",
    "drug_name": "Clozapine 50 MG/ML Oral Suspension [Versacloz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370750",
    "drug_name": "hydrocortisone valerate 0.002 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370754",
    "drug_name": "hydrocortisone valerate 2 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370758",
    "drug_name": "Hydrocortisone butyrate 0.001 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370763",
    "drug_name": "Hydrocortisone butyrate 1 MG/ML Topical Lotion",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370767",
    "drug_name": "Hydrocortisone butyrate 1 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370770",
    "drug_name": "Hydrocortisone butyrate 1 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1370982",
    "drug_name": "Ospemifene 60 MG Oral Tablet [Osphena]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373008",
    "drug_name": "Mecamylamine hydrochloride 2.5 MG Oral Tablet [Vecamyl]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373327",
    "drug_name": "amylase 180000 UNT / lipase 36000 UNT / protease 114000 UNT Delayed Release Oral Capsule [Creon]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373333",
    "drug_name": "Isotretinoin 10 MG Oral Capsule [Zenatane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373335",
    "drug_name": "Isotretinoin 20 MG Oral Capsule [Zenatane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373337",
    "drug_name": "Isotretinoin 40 MG Oral Capsule [Zenatane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373483",
    "drug_name": "dimethyl fumarate 120 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1373491",
    "drug_name": "dimethyl fumarate 240 MG Delayed Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1374573",
    "drug_name": "Tobramycin 28 MG Inhalation Powder [Tobi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1374574",
    "drug_name": "{224 (Tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1374770",
    "drug_name": "12 HR Carbinoxamine maleate 0.8 MG/ML Extended Release Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1374776",
    "drug_name": "12 HR Carbinoxamine maleate 0.8 MG/ML Extended Release Suspension [Karbinal]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1375917",
    "drug_name": "bromfenac 0.7 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1375948",
    "drug_name": "doxylamine succinate 10 MG / Pyridoxine Hydrochloride 10 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1376336",
    "drug_name": "prednisolone acetate 10 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1376338",
    "drug_name": "Desoximetasone 2.5 MG/ML Topical Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1421456",
    "drug_name": "Brimonidine tartrate 2 MG/ML / brinzolamide 10 MG/ML Ophthalmic Suspension [Simbrinza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1421461",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (Ferrous fumarate 75 MG Oral Capsule) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1421473",
    "drug_name": "Cysteamine 25 MG Delayed Release Oral Capsule [Procysbi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1421477",
    "drug_name": "Cysteamine 75 MG Delayed Release Oral Capsule [Procysbi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1422081",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Enskyce 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1422896",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Jencycla 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1423080",
    "drug_name": "doxycycline hyclate 200 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1423123",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MGOral Tablet) } Pack [Daysee 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1423767",
    "drug_name": "Nimodipine 3 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1425110",
    "drug_name": "trametinib 0.5 MG Oral Tablet [Mekinist]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1425118",
    "drug_name": "trametinib 2 MG Oral Tablet [Mekinist]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1425228",
    "drug_name": "dabrafenib 50 MG Oral Capsule [Tafinlar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1425230",
    "drug_name": "dabrafenib 75 MG Oral Capsule [Tafinlar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1425847",
    "drug_name": "Dextroamphetamine Sulfate 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1425854",
    "drug_name": "Dextroamphetamine Sulfate 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1426600",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (Ferrous fumarate 75 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1426881",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [My Way]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1427301",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /Norethindrone 0.75 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1428933",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Orsythia 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1428947",
    "drug_name": "lenalidomide 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1429367",
    "drug_name": "lenalidomide 20 MG Oral Capsule [Revlimid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1430122",
    "drug_name": "Paroxetine mesylate 7.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1430383",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Lyza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1430449",
    "drug_name": "Afatinib 20 MG Oral Tablet [Gilotrif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1430453",
    "drug_name": "Afatinib 30 MG Oral Tablet [Gilotrif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1430457",
    "drug_name": "Afatinib 40 MG Oral Tablet [Gilotrif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431083",
    "drug_name": "Buprenorphine 1.4 MG / Naloxone 0.36 MG Sublingual Tablet [Zubsolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431104",
    "drug_name": "Buprenorphine 5.7 MG / Naloxone 1.4 MG Sublingual Tablet [Zubsolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431235",
    "drug_name": "Lurasidone Hydrochloride 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431286",
    "drug_name": "Acetaminophen 300 MG / butalbital 50 MG / Caffeine 40 MG / Codeine Phosphate 30 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431971",
    "drug_name": "24 HR Tacrolimus 0.5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431977",
    "drug_name": "24 HR Tacrolimus 0.5 MG Extended Release Oral Capsule [Astagraf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431980",
    "drug_name": "24 HR Tacrolimus 1 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431982",
    "drug_name": "24 HR Tacrolimus 1 MG Extended Release Oral Capsule [Astagraf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431985",
    "drug_name": "24 HR Tacrolimus 5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1431987",
    "drug_name": "24 HR Tacrolimus 5 MG Extended Release Oral Capsule [Astagraf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1432969",
    "drug_name": "168 HR Buprenorphine 0.015 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1433734",
    "drug_name": "Naftifine hydrochloride 0.02 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1433879",
    "drug_name": "dolutegravir 50 MG Oral Tablet [Tivicay]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1435624",
    "drug_name": "Enalapril Maleate 1 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1436239",
    "drug_name": "24 HR topiramate 50 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437278",
    "drug_name": "24 HR topiramate 25 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437283",
    "drug_name": "24 HR topiramate 100 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437288",
    "drug_name": "24 HR topiramate 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437702",
    "drug_name": "Albuterol 0.833 MG/ML / Ipratropium Bromide 0.167 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437707",
    "drug_name": "brimonidine 0.0033 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437709",
    "drug_name": "brimonidine 0.0033 MG/MG Topical Gel [Mirvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437713",
    "drug_name": "Mechlorethamine 0.00016 MG/MG Topical Gel [Valchlor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437968",
    "drug_name": "Cyclophosphamide 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1437969",
    "drug_name": "Cyclophosphamide 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1438778",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack [Pimtrea Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1439894",
    "drug_name": "riociguat 0.5 MG Oral Tablet [Adempas]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1439896",
    "drug_name": "riociguat 1 MG Oral Tablet [Adempas]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1439899",
    "drug_name": "riociguat 1.5 MG Oral Tablet [Adempas]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1439901",
    "drug_name": "riociguat 2 MG Oral Tablet [Adempas]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1439903",
    "drug_name": "riociguat 2.5 MG Oral Tablet [Adempas]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1440183",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Larin Fe 1/20]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1440185",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Aubra 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1440937",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75MG Oral Tablet) } Pack [Larin Fe 1.5/30]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1441740",
    "drug_name": "bazedoxifene 20 MG / Estrogens, Conjugated (USP) 0.45 MG Oral Tablet [Duavee]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1442137",
    "drug_name": "Macitentan 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1442143",
    "drug_name": "Macitentan 10 MG Oral Tablet [Opsumit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1442585",
    "drug_name": "Econazole Nitrate 10 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1442590",
    "drug_name": "Econazole Nitrate 10 MG/ML Topical Foam [Ecoza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1442992",
    "drug_name": "Ibrutinib 140 MG Oral Capsule [Imbruvica]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482507",
    "drug_name": "eslicarbazepine acetate 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482515",
    "drug_name": "eslicarbazepine acetate 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482521",
    "drug_name": "eslicarbazepine acetate 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482525",
    "drug_name": "eslicarbazepine acetate 800 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482684",
    "drug_name": "luliconazole 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482689",
    "drug_name": "luliconazole 10 MG/ML Topical Cream [Luzu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482814",
    "drug_name": "1 ML golimumab 100 MG/ML Prefilled Syringe [Simponi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1482908",
    "drug_name": "posaconazole 100 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1483551",
    "drug_name": "{28 (drospirenone 0.25 MG / Estradiol 0.5 MG Oral Tablet) } Pack [Angeliq 0.25/0.5 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1483554",
    "drug_name": "{28 (drospirenone 0.5 MG / Estradiol 1 MG Oral Tablet) } Pack [Angeliq 0.5/1 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1483744",
    "drug_name": "Naltrexone hydrochloride 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1484922",
    "drug_name": "sofosbuvir 400 MG Oral Tablet [Sovaldi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1485332",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Vyfemla 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1486452",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.4 MG Chewable Tablet) / 7 (Ferrous fumarate 75 MGChewable Tablet) } Pack [Wymzya Fe 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1486687",
    "drug_name": "Sapropterin dihydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1486841",
    "drug_name": "raltegravir 100 MG Granules for Oral Suspension [Isentress]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1486977",
    "drug_name": "dapagliflozin 10 MG Oral Tablet [Farxiga]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1486981",
    "drug_name": "dapagliflozin 5 MG Oral Tablet [Farxiga]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487074",
    "drug_name": "Diclofenac Sodium 20 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487086",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Larin 1/20]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487288",
    "drug_name": "Acetaminophen 325 MG / Oxycodone Hydrochloride 2.5 MG Oral Tablet [Endocet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487361",
    "drug_name": "1 ML glatiramer acetate 40 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487519",
    "drug_name": "7 ACTUAT umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487524",
    "drug_name": "7 ACTUAT umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Anoro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487527",
    "drug_name": "30 ACTUAT umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1487528",
    "drug_name": "30 ACTUAT umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Anoro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1488045",
    "drug_name": "Tretinoin 0.0008 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1488353",
    "drug_name": "Cholecalciferol 1.25 MG Oral Capsule [Decara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1488667",
    "drug_name": "12 HR Treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1488671",
    "drug_name": "12 HR Treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1488675",
    "drug_name": "12 HR Treprostinil 1 MG Extended Release Oral Tablet [Orenitram]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1488679",
    "drug_name": "12 HR Treprostinil 2.5 MG Extended Release Oral Tablet [Orenitram]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1490026",
    "drug_name": "Droxidopa 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1490034",
    "drug_name": "Droxidopa 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1490038",
    "drug_name": "Droxidopa 300 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1490063",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [Take Action]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1490065",
    "drug_name": "Raloxifene Hydrochloride 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1490473",
    "drug_name": "tasimelteon 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1491634",
    "drug_name": "metreleptin 5 MG/ML Injectable Solution [Myalept]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1492742",
    "drug_name": "apremilast 20 MG Oral Tablet [Otezla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1492746",
    "drug_name": "apremilast 30 MG Oral Tablet [Otezla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1492748",
    "drug_name": "{4 (apremilast 10 MG Oral Tablet [Otezla]) / 4 (apremilast 20 MG Oral Tablet [Otezla]) / 19 (apremilast 30 MG Oral Tablet [Otezla]) } Pack [Otezla 14-Day 10/20/30 Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1494769",
    "drug_name": "Sprinkle 24 HR topiramate 150 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1495050",
    "drug_name": "Sodium Chloride 30 MG/ML Inhalation Solution [Nebusal]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1495064",
    "drug_name": "Propranolol Hydrochloride 4.28 MG/ML Oral Solution [Hemangeol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1495070",
    "drug_name": "miltefosine 50 MG Oral Capsule [Impavido]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1495092",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Norlyroc 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1495316",
    "drug_name": "Timothy grass pollen extract 2800 BAU Sublingual Tablet [Grastek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1495470",
    "drug_name": "short ragweed pollen extract 12 Amb a 1-U Sublingual Tablet [Ragwitek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1534809",
    "drug_name": "168 HR Ethinyl Estradiol 0.00146 MG/HR / norelgestromin 0.00625 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1535454",
    "drug_name": "Dextroamphetamine Sulfate 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1535470",
    "drug_name": "Dextroamphetamine Sulfate 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1536484",
    "drug_name": "mercaptopurine 20 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1536586",
    "drug_name": "168 HR Ethinyl Estradiol 0.00146 MG/HR / norelgestromin 0.00625 MG/HR Transdermal System [Xulane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1537045",
    "drug_name": "vorapaxar 2.08 MG Oral Tablet [Zontivity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1537209",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Larin 1.5/30]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1538130",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Delyla 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1539762",
    "drug_name": "efinaconazole 100 MG/ML Topical Solution [Jublia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1539891",
    "drug_name": "14 ACTUAT fluticasone furoate 0.1 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Breo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1539893",
    "drug_name": "30 ACTUAT fluticasone furoate 0.1 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Breo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1539953",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Deblitane 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1539955",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Sharobel 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1540241",
    "drug_name": "Benzoyl Peroxide 0.05 MG/MG / clindamycin phosphate 0.012 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1540246",
    "drug_name": "Benzoyl Peroxide 0.05 MG/MG / clindamycin phosphate 0.012 MG/MG Topical Gel [Neuac]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1540868",
    "drug_name": "tedizolid phosphate 200 MG Oral Tablet [Sivextro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1541099",
    "drug_name": "Clobetasol Propionate 0.5 MG/ML Medicated Shampoo [Clodan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1541890",
    "drug_name": "sunitinib 37.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1542994",
    "drug_name": "Fluocinolone Acetonide 0.25 MG/ML / Neomycin Sulfate 5 MG/ML Topical Cream [Neo-Synalar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1542997",
    "drug_name": "168 HR Buprenorphine 0.0075 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1543069",
    "drug_name": "Lidocaine 0.05 MG/MG Topical Ointment",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1543177",
    "drug_name": "tavaborole 43.5 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1543553",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 4 (Inert Ingredients 1 MG Oral Tablet) } Pack [Nikki 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544383",
    "drug_name": "0.2 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544386",
    "drug_name": "0.25 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544388",
    "drug_name": "0.3 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544390",
    "drug_name": "0.35 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544394",
    "drug_name": "0.4 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544396",
    "drug_name": "0.45 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544398",
    "drug_name": "0.5 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544402",
    "drug_name": "0.6 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544404",
    "drug_name": "0.15 ML Methotrexate 50 MG/ML Auto-Injector [Rasuvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544471",
    "drug_name": "idelalisib 100 MG Oral Tablet [Zydelig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1544475",
    "drug_name": "idelalisib 150 MG Oral Tablet [Zydelig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1545174",
    "drug_name": "hydrocortisone acetate 100 MG/ML Rectal Foam [Cortifoam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1545303",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [Afterpill]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1545664",
    "drug_name": "empagliflozin 10 MG Oral Tablet [Jardiance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1545668",
    "drug_name": "empagliflozin 25 MG Oral Tablet [Jardiance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1546083",
    "drug_name": "60 ACTUAT olodaterol 0.0025 MG/ACTUAT Inhalation Spray [Striverdi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1546189",
    "drug_name": "0.5 ML peginterferon beta-1a 0.25 MG/ML Prefilled Syringe [Plegridy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1546198",
    "drug_name": "{1 (0.5 ML peginterferon beta-1a 0.126 MG/ML Prefilled Syringe [Plegridy]) / 1 (0.5 ML peginterferonbeta-1a 0.188 MG/ML Prefilled Syringe [Plegridy]) } Pack [Plegridy Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1546894",
    "drug_name": "abacavir 600 MG / dolutegravir 50 MG / Lamivudine 300 MG Oral Tablet [Triumeq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547110",
    "drug_name": "Suvorexant 10 MG Oral Tablet [Belsomra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547114",
    "drug_name": "Suvorexant 15 MG Oral Tablet [Belsomra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547118",
    "drug_name": "Suvorexant 20 MG Oral Tablet [Belsomra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547231",
    "drug_name": "eliglustat 84 MG Oral Capsule [Cerdelga]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547561",
    "drug_name": "Isotretinoin 25 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547565",
    "drug_name": "Isotretinoin 35 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547575",
    "drug_name": "Suvorexant 5 MG Oral Tablet [Belsomra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547660",
    "drug_name": "30 ACTUAT fluticasone furoate 0.1 MG/ACTUAT Dry Powder Inhaler [Arnuity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547664",
    "drug_name": "14 ACTUAT fluticasone furoate 0.1 MG/ACTUAT Dry Powder Inhaler [Arnuity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547668",
    "drug_name": "14 ACTUAT fluticasone furoate 0.2 MG/ACTUAT Dry Powder Inhaler [Arnuity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547672",
    "drug_name": "30 ACTUAT fluticasone furoate 0.2 MG/ACTUAT Dry Powder Inhaler [Arnuity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1547711",
    "drug_name": "SULFONATED PHENOL 500 MG/ML / Sulfuric acid 300 MG/ML Mucous Membrane Topical Solution [Debacterol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1549091",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [Opcicon One-Step]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1549454",
    "drug_name": "pegvisomant 30 MG Injection [Somavert]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1549456",
    "drug_name": "pegvisomant 25 MG Injection [Somavert]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1549683",
    "drug_name": "{42 (rivaroxaban 15 MG Oral Tablet [Xarelto]) / 9 (rivaroxaban 20 MG Oral Tablet [Xarelto]) } Pack [Xarelto Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1550536",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Tarina Fe 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1550707",
    "drug_name": "Kentucky bluegrass pollen extract 100 IR / orchard grass pollen extract 100 IR / perennial rye grasspollen extract 100 IR / sweet vernal grass pollen extract 100 IR / Timothy grass pollen extract 100",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1550720",
    "drug_name": "Kentucky bluegrass pollen extract 300 IR / orchard grass pollen extract 300 IR / perennial rye grasspollen extract 300 IR / sweet vernal grass pollen extract 300 IR / Timothy grass pollen extract 300",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1550940",
    "drug_name": "Colchicine 0.6 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1551300",
    "drug_name": "0.5 ML dulaglutide 1.5 MG/ML Auto-Injector [Trulicity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1551306",
    "drug_name": "0.5 ML dulaglutide 3 MG/ML Auto-Injector [Trulicity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1551884",
    "drug_name": "lanthanum carbonate 1000 MG Oral Powder [Fosrenol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1551886",
    "drug_name": "lanthanum carbonate 750 MG Oral Powder [Fosrenol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1551923",
    "drug_name": "naloxegol 12.5 MG Oral Tablet [Movantik]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1552004",
    "drug_name": "60 ACTUAT tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Spiriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1552009",
    "drug_name": "28 ACTUAT tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Spiriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1552349",
    "drug_name": "netupitant 300 MG / palonosetron 0.5 MG Oral Capsule [Akynzeo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1591943",
    "drug_name": "ledipasvir 90 MG / sofosbuvir 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1591949",
    "drug_name": "ledipasvir 90 MG / sofosbuvir 400 MG Oral Tablet [Harvoni]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1592279",
    "drug_name": "pirfenidone 267 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1592742",
    "drug_name": "nintedanib 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1592748",
    "drug_name": "nintedanib 100 MG Oral Capsule [Ofev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1592750",
    "drug_name": "nintedanib 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1592752",
    "drug_name": "nintedanib 150 MG Oral Capsule [Ofev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593058",
    "drug_name": "24 HR dapagliflozin 10 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593068",
    "drug_name": "24 HR dapagliflozin 10 MG / Metformin hydrochloride 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593070",
    "drug_name": "24 HR dapagliflozin 5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593072",
    "drug_name": "24 HR dapagliflozin 5 MG / Metformin hydrochloride 500 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593731",
    "drug_name": "Sotalol Hydrochloride 5 MG/ML Oral Solution [Sotylize]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593775",
    "drug_name": "24 HR dapagliflozin 10 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Xigduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593831",
    "drug_name": "24 HR dapagliflozin 5 MG / Metformin hydrochloride 500 MG Extended Release Oral Tablet [Xigduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593833",
    "drug_name": "24 HR dapagliflozin 5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Xigduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593835",
    "drug_name": "24 HR dapagliflozin 10 MG / Metformin hydrochloride 500 MG Extended Release Oral Tablet [Xigduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1593856",
    "drug_name": "lisdexamfetamine dimesylate 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1594673",
    "drug_name": "amylase 105000 UNT / lipase 25000 UNT / protease 79000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1594680",
    "drug_name": "ferric citrate 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595292",
    "drug_name": "amylase 14000 UNT / lipase 3000 UNT / protease 10000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595457",
    "drug_name": "amylase 24000 UNT / lipase 5000 UNT / protease 17000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595462",
    "drug_name": "amylase 42000 UNT / lipase 10000 UNT / protease 32000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595473",
    "drug_name": "amylase 63000 UNT / lipase 15000 UNT / protease 47000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595478",
    "drug_name": "amylase 84000 UNT / lipase 20000 UNT / protease 63000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595730",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 20 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595740",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 30 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595746",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 40 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595752",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 60 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595758",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 80 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595764",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1595770",
    "drug_name": "Abuse-Deterrent 24 HR Hydrocodone Bitartrate 120 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1596023",
    "drug_name": "ferric citrate 1000 MG Oral Tablet [Auryxia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1596108",
    "drug_name": "Acetaminophen 320.5 MG / Caffeine 30 MG / dihydrocodeine bitartrate 16 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1596779",
    "drug_name": "14 ACTUAT Budesonide 2 MG/ACTUAT Rectal Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1596780",
    "drug_name": "60 ACTUAT Testosterone 12.5 MG/ACTUAT Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597076",
    "drug_name": "60 ACTUAT Testosterone 20.25 MG/ACTUAT Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597120",
    "drug_name": "1250 MG Testosterone 0.0162 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597123",
    "drug_name": "2500 MG Testosterone 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597126",
    "drug_name": "2500 MG Testosterone 0.0162 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597129",
    "drug_name": "5000 MG Testosterone 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597570",
    "drug_name": "Buprenorphine 11.4 MG / Naloxone 2.9 MG Sublingual Tablet [Zubsolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597575",
    "drug_name": "Buprenorphine 8.6 MG / Naloxone 2.1 MG Sublingual Tablet [Zubsolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1597814",
    "drug_name": "Nonoxynol-9 0.04 MG/MG Vaginal Gel [VCF Contraceptive]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1598068",
    "drug_name": "Ivermectin 10 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1598073",
    "drug_name": "Ivermectin 10 MG/ML Topical Cream [Soolantra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1598470",
    "drug_name": "Benzoyl Peroxide 0.0375 MG/MG / clindamycin phosphate 0.012 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1598658",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [Aftera]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1598989",
    "drug_name": "Atazanavir 50 MG Oral Powder [Reyataz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599549",
    "drug_name": "edoxaban 15 MG Oral Tablet [Savaysa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599553",
    "drug_name": "edoxaban 30 MG Oral Tablet [Savaysa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599557",
    "drug_name": "edoxaban 60 MG Oral Tablet [Savaysa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599797",
    "drug_name": "1 ML secukinumab 150 MG/ML Prefilled Syringe [Cosentyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599803",
    "drug_name": "24 HR Donepezil hydrochloride 10 MG / Memantine hydrochloride 28 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599805",
    "drug_name": "24 HR Donepezil hydrochloride 10 MG / Memantine hydrochloride 14 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599841",
    "drug_name": "C1 esterase inhibitor (recombinant) 2100 UNT Injection [Ruconest]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1599949",
    "drug_name": "60 ACTUAT Testosterone 30 MG/ACTUAT Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600602",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [EContra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600695",
    "drug_name": "Amphetamine Sulfate 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600710",
    "drug_name": "cobicistat 150 MG / darunavir 800 MG Oral Tablet [Prezcobix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600722",
    "drug_name": "Amlodipine 10 MG / Perindopril arginine 14 MG Oral Tablet [Prestalia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600726",
    "drug_name": "Amlodipine 2.5 MG / Perindopril arginine 3.5 MG Oral Tablet [Prestalia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600730",
    "drug_name": "Amlodipine 5 MG / Perindopril arginine 7 MG Oral Tablet [Prestalia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600773",
    "drug_name": "8 HR Carbidopa 23.75 MG / Levodopa 95 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600774",
    "drug_name": "8 HR Carbidopa 23.75 MG / Levodopa 95 MG Extended Release Oral Capsule [Rytary]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600775",
    "drug_name": "8 HR Carbidopa 36.25 MG / Levodopa 145 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600776",
    "drug_name": "8 HR Carbidopa 36.25 MG / Levodopa 145 MG Extended Release Oral Capsule [Rytary]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600914",
    "drug_name": "8 HR Carbidopa 48.75 MG / Levodopa 195 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600915",
    "drug_name": "8 HR Carbidopa 48.75 MG / Levodopa 195 MG Extended Release Oral Capsule [Rytary]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600916",
    "drug_name": "8 HR Carbidopa 61.25 MG / Levodopa 245 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1600917",
    "drug_name": "8 HR Carbidopa 61.25 MG / Levodopa 245 MG Extended Release Oral Capsule [Rytary]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1601373",
    "drug_name": "naloxegol 25 MG Oral Tablet [Movantik]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1601390",
    "drug_name": "palbociclib 125 MG Oral Capsule [Ibrance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1601660",
    "drug_name": "Atazanavir 300 MG / cobicistat 150 MG Oral Tablet [Evotaz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1602115",
    "drug_name": "empagliflozin 10 MG / Linagliptin 5 MG Oral Tablet [Glyxambi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1602120",
    "drug_name": "empagliflozin 25 MG / Linagliptin 5 MG Oral Tablet [Glyxambi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1603495",
    "drug_name": "72 HR Fentanyl 0.0375 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1603498",
    "drug_name": "72 HR Fentanyl 0.0625 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1603501",
    "drug_name": "72 HR Fentanyl 0.0875 MG/HR Transdermal System",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1603861",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MGOral Tablet) } Pack [Ashlyna 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1604350",
    "drug_name": "{30 (lenvatinib 10 MG Oral Capsule [Lenvima]) / 30 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 14]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1604352",
    "drug_name": "{60 (lenvatinib 10 MG Oral Capsule [Lenvima]) / 30 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 24]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1604384",
    "drug_name": "{30 (lenvatinib 10 MG Oral Capsule [Lenvima]) } Pack [Lenvima 10]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1604395",
    "drug_name": "{60 (lenvatinib 10 MG Oral Capsule [Lenvima]) } Pack [Lenvima 20]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1604544",
    "drug_name": "1.5 ML Insulin Glargine 300 UNT/ML Pen Injector [Toujeo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1605086",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Juleber 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1605088",
    "drug_name": "Isotretinoin 30 MG Oral Capsule [Zenatane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1605091",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MGOral Tablet) } Pack [Larin 24 Fe 1/20]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1605455",
    "drug_name": "{4 (apremilast 10 MG Oral Tablet [Otezla]) / 4 (apremilast 20 MG Oral Tablet [Otezla]) / 47 (apremilast 30 MG Oral Tablet [Otezla]) } Pack [Otezla 28-Day 10/20/30 Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1606337",
    "drug_name": "Asenapine 2.5 MG Sublingual Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1606347",
    "drug_name": "Metoprolol Tartrate 37.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1606349",
    "drug_name": "Metoprolol Tartrate 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1606866",
    "drug_name": "ivacaftor 50 MG Oral Granules [Kalydeco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1606870",
    "drug_name": "ivacaftor 75 MG Oral Granules [Kalydeco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1607617",
    "drug_name": "24 HR desvenlafaxine succinate 25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1607784",
    "drug_name": "deferasirox 180 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1607792",
    "drug_name": "deferasirox 360 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1607796",
    "drug_name": "deferasirox 90 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1608274",
    "drug_name": "Cholic Acid 250 MG Oral Capsule [Cholbam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1608276",
    "drug_name": "Cholic Acid 50 MG Oral Capsule [Cholbam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1608333",
    "drug_name": "isavuconazonium sulfate 186 MG Oral Capsule [Cresemba]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648183",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 15 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648755",
    "drug_name": "NITROFURANTOIN, MACROCRYSTALS 25 MG / Nitrofurantoin, Monohydrate 75 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648759",
    "drug_name": "NITROFURANTOIN, MACROCRYSTALS 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648772",
    "drug_name": "lomitapide 30 MG Oral Capsule [Juxtapid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648785",
    "drug_name": "14 ACTUAT fluticasone furoate 0.2 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Breo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648789",
    "drug_name": "30 ACTUAT fluticasone furoate 0.2 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Breo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1648999",
    "drug_name": "Triamcinolone Acetonide 5 MG/ML Topical Cream [Triderm]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649401",
    "drug_name": "Doxycycline Monohydrate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649405",
    "drug_name": "doxycycline hyclate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649425",
    "drug_name": "doxycycline hyclate 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649429",
    "drug_name": "Doxycycline Monohydrate 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649485",
    "drug_name": "ivabradine 5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649493",
    "drug_name": "ivabradine 7.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649593",
    "drug_name": "0.5 ML peginterferon beta-1a 0.25 MG/ML Auto-Injector [Plegridy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649605",
    "drug_name": "{1 (0.5 ML peginterferon beta-1a 0.126 MG/ML Auto-Injector [Plegridy]) / 1 (0.5 ML peginterferon beta-1a 0.188 MG/ML Auto-Injector [Plegridy]) } Pack [Plegridy Pen Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649961",
    "drug_name": "200 ACTUAT Albuterol 0.09 MG/ACTUAT Dry Powder Inhaler [ProAir]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649988",
    "drug_name": "doxycycline hyclate 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649990",
    "drug_name": "Doxycycline Monohydrate 100 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1649996",
    "drug_name": "0.5 ML Interferon beta-1a 0.044 MG/ML Auto-Injector [Rebif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650004",
    "drug_name": "0.5 ML Interferon beta-1a 0.088 MG/ML Auto-Injector [Rebif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650030",
    "drug_name": "Doxycycline Monohydrate 5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650142",
    "drug_name": "Doxycycline Monohydrate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650143",
    "drug_name": "doxycycline hyclate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650282",
    "drug_name": "{6 (0.2 ML Interferon beta-1a 0.044 MG/ML Auto-Injector [Rebif]) / 6 (0.5 ML Interferon beta-1a 0.044 MG/ML Auto-Injector [Rebif]) } Pack [Rebif Rebidose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650444",
    "drug_name": "Doxycycline Monohydrate 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650446",
    "drug_name": "doxycycline hyclate 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1650901",
    "drug_name": "0.5 ML Interferon beta-1a 0.06 MG/ML Auto-Injector [Avonex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1651271",
    "drug_name": "28 ACTUAT olodaterol 0.0025 MG/ACTUAT / tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Stiolto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1651275",
    "drug_name": "60 ACTUAT olodaterol 0.0025 MG/ACTUAT / tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Stiolto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652084",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MGOral Tablet) } Pack [Junel Fe 24 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652242",
    "drug_name": "3 ML Insulin Lispro 200 UNT/ML Pen Injector [Humalog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652363",
    "drug_name": "Hyoscyamine Sulfate 0.125 MG Sublingual Tablet [Oscimin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652639",
    "drug_name": "3 ML Insulin Lispro 100 UNT/ML Pen Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652640",
    "drug_name": "3 ML Insulin Lispro 100 UNT/ML Pen Injector [Humalog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652646",
    "drug_name": "3 ML Insulin Lispro 100 UNT/ML Cartridge [Humalog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652673",
    "drug_name": "Doxycycline Monohydrate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1652674",
    "drug_name": "doxycycline hyclate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653144",
    "drug_name": "0.5 ML golimumab 100 MG/ML Auto-Injector [Simponi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653166",
    "drug_name": "1 ML golimumab 100 MG/ML Auto-Injector [Simponi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653198",
    "drug_name": "3 ML insulin aspart, human 100 UNT/ML Cartridge [NovoLog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653204",
    "drug_name": "3 ML insulin aspart, human 100 UNT/ML Pen Injector [NovoLog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653217",
    "drug_name": "Sapropterin dihydrochloride 500 MG Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653225",
    "drug_name": "1 ML Etanercept 50 MG/ML Auto-Injector [Enbrel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653243",
    "drug_name": "1 ML secukinumab 150 MG/ML Auto-Injector [Cosentyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653433",
    "drug_name": "doxycycline hyclate 50 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1653792",
    "drug_name": "eluxadoline 75 MG Oral Tablet [Viberzi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1654630",
    "drug_name": "1 ML glatiramer acetate 20 MG/ML Prefilled Syringe [Glatopa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1655934",
    "drug_name": "ivacaftor 125 MG / lumacaftor 200 MG Oral Tablet [ORKAMBI]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1656340",
    "drug_name": "sacubitril 24 MG / valsartan 26 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1656349",
    "drug_name": "sacubitril 49 MG / valsartan 51 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1656354",
    "drug_name": "sacubitril 97 MG / valsartan 103 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1657151",
    "drug_name": "0.5 ML Sumatriptan 12 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1657212",
    "drug_name": "omalizumab 150 MG Injection [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1658325",
    "drug_name": "brexpiprazole 0.25 MG Oral Tablet [Rexulti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1658329",
    "drug_name": "brexpiprazole 0.5 MG Oral Tablet [Rexulti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1658333",
    "drug_name": "brexpiprazole 1 MG Oral Tablet [Rexulti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1658337",
    "drug_name": "brexpiprazole 2 MG Oral Tablet [Rexulti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1658341",
    "drug_name": "brexpiprazole 3 MG Oral Tablet [Rexulti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1658345",
    "drug_name": "brexpiprazole 4 MG Oral Tablet [Rexulti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1659161",
    "drug_name": "1 ML alirocumab 150 MG/ML Auto-Injector [Praluent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1659183",
    "drug_name": "1 ML alirocumab 75 MG/ML Auto-Injector [Praluent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1659803",
    "drug_name": "azelaic acid 150 MG/ML Topical Foam [Finacea]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1659927",
    "drug_name": "sonidegib 200 MG Oral Capsule [Odomzo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1660690",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Cyred 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1661092",
    "drug_name": "{84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Setlakin 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1661560",
    "drug_name": "{56 (Tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Weekly Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1661567",
    "drug_name": "{8 (Tobramycin 28 MG Inhalation Powder [Tobi]) } Pack [TOBI Podhaler Daily Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1663745",
    "drug_name": "adapalene 0.003 MG/MG / Benzoyl Peroxide 0.025 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1663747",
    "drug_name": "adapalene 0.003 MG/MG / Benzoyl Peroxide 0.025 MG/MG Topical Gel [Epiduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1664321",
    "drug_name": "empagliflozin 5 MG / Metformin hydrochloride 500 MG Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1664325",
    "drug_name": "empagliflozin 12.5 MG / Metformin hydrochloride 500 MG Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1664328",
    "drug_name": "empagliflozin 5 MG / Metformin hydrochloride 1000 MG Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1664440",
    "drug_name": "24 HR Tacrolimus 4 MG Extended Release Oral Tablet [Envarsus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1664458",
    "drug_name": "24 HR Tacrolimus 0.75 MG Extended Release Oral Tablet [Envarsus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1664463",
    "drug_name": "24 HR Tacrolimus 1 MG Extended Release Oral Tablet [Envarsus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1665369",
    "drug_name": "empagliflozin 12.5 MG / Metformin hydrochloride 1000 MG Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1665473",
    "drug_name": "uridine triacetate 2000 MG Oral Granules [Xuriden]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1665900",
    "drug_name": "1 ML evolocumab 140 MG/ML Auto-Injector [Repatha]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1665906",
    "drug_name": "1 ML evolocumab 140 MG/ML Prefilled Syringe [Repatha]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1666332",
    "drug_name": "Ticagrelor 60 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1666334",
    "drug_name": "Ticagrelor 60 MG Oral Tablet [Brilinta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1666385",
    "drug_name": "Buprenorphine 2.9 MG / Naloxone 0.71 MG Sublingual Tablet [Zubsolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1666391",
    "drug_name": "flibanserin 100 MG Oral Tablet [Addyi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1667666",
    "drug_name": "cariprazine 1.5 MG Oral Capsule [Vraylar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1667670",
    "drug_name": "cariprazine 3 MG Oral Capsule [Vraylar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1667674",
    "drug_name": "cariprazine 4.5 MG Oral Capsule [Vraylar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1667678",
    "drug_name": "cariprazine 6 MG Oral Capsule [Vraylar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1667882",
    "drug_name": "60 ACTUAT tiotropium 0.00125 MG/ACTUAT Inhalation Spray [Spiriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1667886",
    "drug_name": "28 ACTUAT tiotropium 0.00125 MG/ACTUAT Inhalation Spray [Spiriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1669873",
    "drug_name": "Fluorouracil 40 MG/ML Topical Cream [Tolak]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1670322",
    "drug_name": "tipiracil 6.14 MG / Trifluridine 15 MG Oral Tablet [Lonsurf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1670324",
    "drug_name": "tipiracil 8.19 MG / Trifluridine 20 MG Oral Tablet [Lonsurf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1673373",
    "drug_name": "rolapitant 90 MG Oral Tablet [Varubi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716063",
    "drug_name": "Buprenorphine 0.15 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716067",
    "drug_name": "Buprenorphine 0.3 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716071",
    "drug_name": "Buprenorphine 0.45 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716075",
    "drug_name": "Buprenorphine 0.6 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716079",
    "drug_name": "Buprenorphine 0.075 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716083",
    "drug_name": "Buprenorphine 0.75 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716090",
    "drug_name": "Buprenorphine 0.9 MG Buccal Film [Belbuca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716099",
    "drug_name": "betamethasone dipropionate 0.643 MG/ML / calcipotriene 0.05 MG/ML Topical Foam [Enstilar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716215",
    "drug_name": "patiromer 8400 MG Powder for Oral Suspension [Veltassa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716219",
    "drug_name": "patiromer 16800 MG Powder for Oral Suspension [Veltassa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716223",
    "drug_name": "patiromer 25200 MG Powder for Oral Suspension [Veltassa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1716268",
    "drug_name": "deferiprone 100 MG/ML Oral Solution [Ferriprox]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1719766",
    "drug_name": "eluxadoline 100 MG Oral Tablet [Viberzi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1720268",
    "drug_name": "0.45 ML asfotase alfa 40 MG/ML Injection [Strensiq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1720272",
    "drug_name": "0.7 ML asfotase alfa 40 MG/ML Injection [Strensiq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1720276",
    "drug_name": "1 ML asfotase alfa 40 MG/ML Injection [Strensiq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1720280",
    "drug_name": "0.8 ML asfotase alfa 100 MG/ML Injection [Strensiq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1720606",
    "drug_name": "mepolizumab 100 MG Injection [Nucala]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1720616",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Vienva 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1721312",
    "drug_name": "{7 (perampanel 4 MG Oral Tablet) / 7 (perampanel 6 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1721571",
    "drug_name": "osimertinib 40 MG Oral Tablet [Tagrisso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1721583",
    "drug_name": "osimertinib 80 MG Oral Tablet [Tagrisso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1721619",
    "drug_name": "cobicistat 150 MG / elvitegravir 150 MG / emtricitabine 200 MG / tenofovir alafenamide 10 MG Oral Tablet [Genvoya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1722349",
    "drug_name": "meloxicam 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1722357",
    "drug_name": "meloxicam 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1722376",
    "drug_name": "Cobimetinib 20 MG Oral Tablet [Cotellic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1722676",
    "drug_name": "{7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1722680",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MGOral Tablet) } Pack [Blisovi 24 Fe 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1723476",
    "drug_name": "dabigatran etexilate 110 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1723478",
    "drug_name": "dabigatran etexilate 110 MG Oral Capsule [Pradaxa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1723763",
    "drug_name": "ixazomib 2.3 MG Oral Capsule [Ninlaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1723767",
    "drug_name": "ixazomib 3 MG Oral Capsule [Ninlaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1723772",
    "drug_name": "ixazomib 4 MG Oral Capsule [Ninlaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1724437",
    "drug_name": "thyroid (USP) 90 MG Oral Tablet [NP Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1724439",
    "drug_name": "thyroid (USP) 30 MG Oral Tablet [NP Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1724481",
    "drug_name": "thyroid (USP) 60 MG Oral Tablet [NP Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1724801",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Blisovi 21 Fe 1/20 28 Day Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1726639",
    "drug_name": "ponatinib 30 MG Oral Tablet [Iclusig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1727485",
    "drug_name": "alectinib 150 MG Oral Capsule [Alecensa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1727521",
    "drug_name": "{24 (Ethinyl Estradiol 0.025 MG / Norethindrone 0.8 MG Chewable Tablet) / 4 (Ferrous fumarate 75 MGChewable Tablet) } Pack [Kaitlib Fe 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729013",
    "drug_name": "selexipag 1 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729029",
    "drug_name": "selexipag 1.2 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729033",
    "drug_name": "selexipag 1.4 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729047",
    "drug_name": "selexipag 1.6 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729053",
    "drug_name": "selexipag 0.2 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729057",
    "drug_name": "selexipag 0.4 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729061",
    "drug_name": "selexipag 0.6 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729065",
    "drug_name": "selexipag 0.8 MG Oral Tablet [Uptravi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729076",
    "drug_name": "{140 (selexipag 0.2 MG Oral Tablet [Uptravi]) / 60 (selexipag 0.8 MG Oral Tablet [Uptravi]) } Pack [Uptravi Titration Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1729516",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75MG Oral Tablet) } Pack [Blisovi 21 Fe 1.5/30 28 Day Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1731020",
    "drug_name": "Levetiracetam 500 MG Oral Tablet [Roweepra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1731317",
    "drug_name": "3 ML insulin, regular, human 500 UNT/ML Pen Injector [Humulin R]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1734642",
    "drug_name": "elbasvir 50 MG / grazoprevir 100 MG Oral Tablet [Zepatier]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1736014",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [Option 2]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1736654",
    "drug_name": "Ethinyl Estradiol 0.0025 MG / norethindrone acetate 0.5 MG Oral Tablet [Fyavolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1736656",
    "drug_name": "Ethinyl Estradiol 0.005 MG / norethindrone acetate 1 MG Oral Tablet [Fyavolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1736863",
    "drug_name": "3 ML Insulin Glargine 100 UNT/ML Pen Injector [Basaglar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1737789",
    "drug_name": "Mebendazole 100 MG Chewable Tablet [Emverm]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738483",
    "drug_name": "Paroxetine Hydrochloride 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738495",
    "drug_name": "Paroxetine Hydrochloride 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738503",
    "drug_name": "Paroxetine Hydrochloride 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738511",
    "drug_name": "Paroxetine Hydrochloride 40 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738541",
    "drug_name": "Betamethasone 0.5 MG/ML Topical Spray [Sernivo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738581",
    "drug_name": "0.5 ML Sumatriptan 6 MG/ML Auto-Injector [Zembrace]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738803",
    "drug_name": "24 HR Paroxetine Hydrochloride 12.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738805",
    "drug_name": "24 HR Paroxetine Hydrochloride 25 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1738807",
    "drug_name": "24 HR Paroxetine Hydrochloride 37.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739337",
    "drug_name": "Sumatriptan 11 MG Nasal Powder [Onzetra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739761",
    "drug_name": "Brivaracetam 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739766",
    "drug_name": "Brivaracetam 10 MG Oral Tablet [Briviact]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739768",
    "drug_name": "Brivaracetam 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739770",
    "drug_name": "Brivaracetam 100 MG Oral Tablet [Briviact]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739772",
    "drug_name": "Brivaracetam 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739774",
    "drug_name": "Brivaracetam 25 MG Oral Tablet [Briviact]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739776",
    "drug_name": "Brivaracetam 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739778",
    "drug_name": "Brivaracetam 50 MG Oral Tablet [Briviact]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739780",
    "drug_name": "Brivaracetam 75 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739782",
    "drug_name": "Brivaracetam 75 MG Oral Tablet [Briviact]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739785",
    "drug_name": "Brivaracetam 10 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739788",
    "drug_name": "Brivaracetam 10 MG/ML Oral Solution [Briviact]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739800",
    "drug_name": "uridine triacetate 10000 MG Oral Granules [Vistogard]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739803",
    "drug_name": "24 HR Amphetamine 12.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739813",
    "drug_name": "24 HR Amphetamine 15.7 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739819",
    "drug_name": "24 HR Amphetamine 18.8 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739825",
    "drug_name": "24 HR Amphetamine 3.1 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739831",
    "drug_name": "24 HR Amphetamine 6.3 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1739837",
    "drug_name": "24 HR Amphetamine 9.4 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1741046",
    "drug_name": "24 HR tofacitinib 11 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1741049",
    "drug_name": "24 HR tofacitinib 11 MG Extended Release Oral Tablet [Xeljanz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1741739",
    "drug_name": "emtricitabine 200 MG / Rilpivirine 25 MG / tenofovir alafenamide 25 MG Oral Tablet [Odefsey]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1741905",
    "drug_name": "Dapsone 0.075 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1744001",
    "drug_name": "emtricitabine 100 MG / Tenofovir disoproxil fumarate 150 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1744005",
    "drug_name": "emtricitabine 133 MG / Tenofovir disoproxil fumarate 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1744009",
    "drug_name": "emtricitabine 167 MG / Tenofovir disoproxil fumarate 250 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1745091",
    "drug_name": "Lidocaine 0.05 MG/MG Medicated Patch",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1745108",
    "drug_name": "1 ML ixekizumab 80 MG/ML Auto-Injector [Taltz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1745114",
    "drug_name": "1 ML ixekizumab 80 MG/ML Prefilled Syringe [Taltz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1747567",
    "drug_name": "venetoclax 100 MG Oral Tablet [Venclexta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1747577",
    "drug_name": "venetoclax 10 MG Oral Tablet [Venclexta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1747579",
    "drug_name": "venetoclax 50 MG Oral Tablet [Venclexta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1747580",
    "drug_name": "{14 (venetoclax 10 MG Oral Tablet [Venclexta]) / 21 (venetoclax 100 MG Oral Tablet [Venclexta]) / 7(venetoclax 50 MG Oral Tablet [Venclexta]) } Pack [Venclexta Starting Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1747697",
    "drug_name": "emtricitabine 200 MG / tenofovir alafenamide 25 MG Oral Tablet [Descovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1788961",
    "drug_name": "Nonoxynol-9 280 MG Vaginal Film [VCF Contraceptive]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790122",
    "drug_name": "perampanel 0.5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790126",
    "drug_name": "perampanel 0.5 MG/ML Oral Suspension [FYCOMPA]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790141",
    "drug_name": "bromfenac 0.75 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790167",
    "drug_name": "cabozantinib 20 MG Oral Tablet [Cabometyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790171",
    "drug_name": "cabozantinib 40 MG Oral Tablet [Cabometyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790175",
    "drug_name": "cabozantinib 60 MG Oral Tablet [Cabometyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790317",
    "drug_name": "nitisinone 4 MG/ML Oral Suspension [Orfadin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790533",
    "drug_name": "Abuse-Deterrent 12 HR Oxycodone 9 MG Extended Release Oral Capsule [Xtampza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790644",
    "drug_name": "120 ACTUAT formoterol fumarate 0.0048 MG/ACTUAT / Glycopyrrolate 0.009 MG/ACTUAT Metered Dose Inhaler [Bevespi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790684",
    "drug_name": "Hydrocortisone 25 MG/ML Topical Cream [Procto-Med]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790886",
    "drug_name": "vortioxetine 10 MG Oral Tablet [Trintellix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790890",
    "drug_name": "vortioxetine 20 MG Oral Tablet [Trintellix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1790892",
    "drug_name": "vortioxetine 5 MG Oral Tablet [Trintellix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1791560",
    "drug_name": "Abuse-Deterrent 12 HR Oxycodone 13.5 MG Extended Release Oral Capsule [Xtampza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1791569",
    "drug_name": "Abuse-Deterrent 12 HR Oxycodone 18 MG Extended Release Oral Capsule [Xtampza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1791576",
    "drug_name": "Abuse-Deterrent 12 HR Oxycodone 27 MG Extended Release Oral Capsule [Xtampza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1791582",
    "drug_name": "Abuse-Deterrent 12 HR Oxycodone 36 MG Extended Release Oral Capsule [Xtampza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1792393",
    "drug_name": "{30 (lenvatinib 10 MG Oral Capsule [Lenvima]) / 60 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 18]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1795581",
    "drug_name": "Carbinoxamine maleate 6 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1796091",
    "drug_name": "24 HR Linagliptin 2.5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Jentadueto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1796096",
    "drug_name": "24 HR Linagliptin 5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Jentadueto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1796665",
    "drug_name": "{60 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 8]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797113",
    "drug_name": "Estradiol 0.01 MG Vaginal Insert [Yuvafem]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797833",
    "drug_name": "Ipratropium Bromide 0.021 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797843",
    "drug_name": "ciclesonide 0.05 MG/ACTUAT Metered Dose Nasal Spray [Omnaris]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797844",
    "drug_name": "Ipratropium Bromide 0.042 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797847",
    "drug_name": "Azelastine hydrochloride 0.137 MG/ACTUAT / Fluticasone propionate 0.05 MG/ACTUAT Metered Dose NasalSpray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797863",
    "drug_name": "flunisolide 0.025 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797867",
    "drug_name": "Azelastine hydrochloride 0.137 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797880",
    "drug_name": "Nafarelin 0.2 MG/ACTUAT Metered Dose Nasal Spray [Synarel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797888",
    "drug_name": "Nicotine 0.5 MG/ACTUAT Metered Dose Nasal Spray [Nicotrol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797895",
    "drug_name": "Olopatadine hydrochloride 0.665 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1797907",
    "drug_name": "Fluticasone propionate 0.05 MG/ACTUAT Metered Dose Nasal Spray",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1798999",
    "drug_name": "nitisinone 20 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1799001",
    "drug_name": "nitisinone 20 MG Oral Capsule [Orfadin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1799212",
    "drug_name": "sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1799218",
    "drug_name": "sofosbuvir 400 MG / velpatasvir 100 MG Oral Tablet [Epclusa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1799230",
    "drug_name": "1 ML abatacept 125 MG/ML Auto-Injector [Orencia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1799654",
    "drug_name": "Sodium polystyrene sulfonate 250 MG/ML Oral Suspension [SPS]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1800499",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Mili 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1800500",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801279",
    "drug_name": "Sugar-Free Cholestyramine Resin 4000 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801283",
    "drug_name": "Emollient Fluocinonide 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801289",
    "drug_name": "Smoking Cessation 12 HR Bupropion Hydrochloride 150 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801294",
    "drug_name": "Microencapsulated Potassium Chloride 20 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801295",
    "drug_name": "Microencapsulated Potassium Chloride 20 MEQ Extended Release Oral Tablet [Klor-Con]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801298",
    "drug_name": "Microencapsulated Potassium Chloride 10 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801299",
    "drug_name": "Microencapsulated Potassium Chloride 10 MEQ Extended Release Oral Tablet [Klor-Con]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1801840",
    "drug_name": "lifitegrast 50 MG/ML Ophthalmic Solution [Xiidra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1805420",
    "drug_name": "24 HR Donepezil hydrochloride 10 MG / Memantine hydrochloride 21 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806177",
    "drug_name": "50/50 Release 24 HR Methylphenidate Hydrochloride 20 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806179",
    "drug_name": "50/50 Release 24 HR Methylphenidate Hydrochloride 30 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806181",
    "drug_name": "30/70 Release 24 HR Methylphenidate Hydrochloride 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806183",
    "drug_name": "50/50 Release 24 HR Methylphenidate Hydrochloride 40 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806185",
    "drug_name": "50/50 Release 24 HR Methylphenidate Hydrochloride 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806187",
    "drug_name": "30/70 Release 24 HR Methylphenidate Hydrochloride 20 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806189",
    "drug_name": "30/70 Release 24 HR Methylphenidate Hydrochloride 30 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806191",
    "drug_name": "30/70 Release 24 HR Methylphenidate Hydrochloride 40 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806193",
    "drug_name": "30/70 Release 24 HR Methylphenidate Hydrochloride 50 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806195",
    "drug_name": "50/50 Release 24 HR Methylphenidate Hydrochloride 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806197",
    "drug_name": "30/70 Release 24 HR Methylphenidate Hydrochloride 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806200",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806202",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 20 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806204",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 50 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806206",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 30 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806208",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 60 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806210",
    "drug_name": "40/60 Release 24 HR Methylphenidate Hydrochloride 40 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806380",
    "drug_name": "Once-Daily gabapentin 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806382",
    "drug_name": "Once-Daily gabapentin 600 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1806878",
    "drug_name": "crofelemer 125 MG Delayed Release Oral Tablet [Mytesi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1811180",
    "drug_name": "icosapent ethyl 500 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1811763",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Norlyda 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812011",
    "drug_name": "Osmotic 24 HR Nifedipine 30 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812013",
    "drug_name": "Osmotic 24 HR Nifedipine 60 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812015",
    "drug_name": "Osmotic 24 HR Nifedipine 90 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812279",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Ayuna 28 Day Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812419",
    "drug_name": "Sprinkle 24 HR topiramate 200 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812421",
    "drug_name": "Sprinkle 24 HR topiramate 25 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812425",
    "drug_name": "Sprinkle 24 HR topiramate 50 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812427",
    "drug_name": "Sprinkle 24 HR topiramate 100 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812434",
    "drug_name": "Soft Gelatin Methoxsalen 10 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1812470",
    "drug_name": "ivacaftor 125 MG / lumacaftor 100 MG Oral Tablet [ORKAMBI]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1855086",
    "drug_name": "thyroid (USP) 15 MG Oral Tablet [NP Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1855389",
    "drug_name": "Levalbuterol 2.5 MG/ML Inhalation Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1856402",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Nylia 1/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1856424",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / Norethindrone 0.5 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /Norethindrone 0.75 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / Norethindrone 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1857925",
    "drug_name": "maraviroc 20 MG/ML Oral Solution [Selzentry]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1858267",
    "drug_name": "tenofovir alafenamide 25 MG Oral Tablet [Vemlidy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1858833",
    "drug_name": "12 HR Treprostinil 5 MG Extended Release Oral Tablet [Orenitram]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1858836",
    "drug_name": "{7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1859000",
    "drug_name": "3 ML Insulin Glargine 100 UNT/ML / Lixisenatide 0.033 MG/ML Pen Injector [Soliqua]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1859498",
    "drug_name": "eltrombopag 25 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860172",
    "drug_name": "3 ML insulin degludec 100 UNT/ML / liraglutide 3.6 MG/ML Pen Injector [Xultophy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860414",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.1 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [Afirmelle 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860491",
    "drug_name": "12 HR Hydrocodone Bitartrate 10 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860493",
    "drug_name": "12 HR Hydrocodone Bitartrate 15 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860495",
    "drug_name": "12 HR Hydrocodone Bitartrate 20 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860497",
    "drug_name": "12 HR Hydrocodone Bitartrate 30 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860499",
    "drug_name": "12 HR Hydrocodone Bitartrate 40 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1860501",
    "drug_name": "12 HR Hydrocodone Bitartrate 50 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862590",
    "drug_name": "rucaparib 300 MG Oral Tablet [Rubraca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862595",
    "drug_name": "rucaparib 200 MG Oral Tablet [Rubraca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862600",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862688",
    "drug_name": "24 HR empagliflozin 10 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862692",
    "drug_name": "24 HR empagliflozin 12.5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862697",
    "drug_name": "24 HR empagliflozin 25 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1862701",
    "drug_name": "24 HR empagliflozin 5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Synjardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1864414",
    "drug_name": "Buprenorphine 0.7 MG / Naloxone 0.18 MG Sublingual Tablet [Zubsolv]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1865962",
    "drug_name": "crisaborole 0.02 MG/MG Topical Ointment [Eucrisa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1866047",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Isibloom 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1867544",
    "drug_name": "Potassium Chloride 20 MEQ Powder for Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1867547",
    "drug_name": "Potassium Chloride 20 MEQ Powder for Oral Solution [Klor-Con]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1868014",
    "drug_name": "pirfenidone 267 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1868018",
    "drug_name": "pirfenidone 801 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1869699",
    "drug_name": "linaclotide 0.072 MG Oral Capsule [Linzess]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1869821",
    "drug_name": "Oxymetazoline hydrochloride 10 MG/ML Topical Cream [Rhofade]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1869883",
    "drug_name": "Carbinoxamine maleate 6 MG Oral Tablet [Ryvent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870205",
    "drug_name": "NDA201739 0.3 ML Epinephrine 1 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870207",
    "drug_name": "NDA019430 0.3 ML Epinephrine 1 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870225",
    "drug_name": "NDA020800 0.15 ML Epinephrine 1 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870230",
    "drug_name": "NDA020800 0.3 ML Epinephrine 1 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870232",
    "drug_name": "NDA201739 0.15 ML Epinephrine 1 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870954",
    "drug_name": "deflazacort 18 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870958",
    "drug_name": "deflazacort 36 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1870964",
    "drug_name": "deflazacort 22.75 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1871456",
    "drug_name": "lisdexamfetamine dimesylate 40 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1871460",
    "drug_name": "lisdexamfetamine dimesylate 30 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1871462",
    "drug_name": "lisdexamfetamine dimesylate 20 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1871464",
    "drug_name": "lisdexamfetamine dimesylate 10 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1871466",
    "drug_name": "lisdexamfetamine dimesylate 60 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1871468",
    "drug_name": "lisdexamfetamine dimesylate 50 MG Chewable Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1872261",
    "drug_name": "1.5 ML brodalumab 140 MG/ML Prefilled Syringe [Siliq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1872458",
    "drug_name": "telotristat ethyl 250 MG Oral Tablet [Xermelo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1873704",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Mibelas 24 Fe Chewable 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1873991",
    "drug_name": "{21 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali 200 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1873993",
    "drug_name": "{42 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali 400 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1873995",
    "drug_name": "{63 (ribociclib 200 MG Oral Tablet [Kisqali]) } Pack [Kisqali 600 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1874553",
    "drug_name": "24 HR desvenlafaxine succinate 100 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1874559",
    "drug_name": "24 HR desvenlafaxine succinate 50 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876397",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 42 (Ethinyl Estradiol 0.02 MG / Levonorgestrel 0.15 MGOral Tablet) / 21 (Ethinyl Estradiol 0.025 MG / Levonorgestrel 0.15 MG Oral Tablet) / 21 (Ethinyl Es",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876406",
    "drug_name": "2 ML dupilumab 150 MG/ML Prefilled Syringe [Dupixent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876609",
    "drug_name": "naldemedine 0.2 MG Oral Tablet [Symproic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876810",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack [Simliya 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876916",
    "drug_name": "deutetrabenazine 12 MG Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876920",
    "drug_name": "deutetrabenazine 6 MG Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1876924",
    "drug_name": "deutetrabenazine 9 MG Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1918042",
    "drug_name": "abiraterone acetate 500 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1918056",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MGOral Tablet) } Pack [Simpesse 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1918230",
    "drug_name": "valbenazine 40 MG Oral Capsule [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1919094",
    "drug_name": "midostaurin 25 MG Oral Capsule [Rydapt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1921081",
    "drug_name": "1.56 ML abaloparatide 2 MG/ML Pen Injector [Tymlos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1921228",
    "drug_name": "brigatinib 30 MG Oral Tablet [Alunbrig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1921589",
    "drug_name": "rucaparib 250 MG Oral Tablet [Rubraca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1921598",
    "drug_name": "Methotrexate 2.5 MG/ML Oral Solution [Xatmep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1922759",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [My Choice]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1922783",
    "drug_name": "Preservative-Free dorzolamide 20 MG/ML / Timolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1922876",
    "drug_name": "Preservative-Free Timolol 2.5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1922894",
    "drug_name": "Preservative-Free Timolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923047",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923049",
    "drug_name": "Levothyroxine Sodium 0.175 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923050",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923052",
    "drug_name": "Levothyroxine Sodium 0.2 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923347",
    "drug_name": "1.14 ML sarilumab 175 MG/ML Prefilled Syringe [Kevzara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923421",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Kalliga 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923422",
    "drug_name": "Sotalol Hydrochloride 120 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923424",
    "drug_name": "Sotalol Hydrochloride 160 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923426",
    "drug_name": "Sotalol Hydrochloride 80 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923428",
    "drug_name": "Timolol 2.5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923432",
    "drug_name": "dorzolamide 20 MG/ML / Timolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923809",
    "drug_name": "thyroid (USP) 120 MG Oral Tablet [NP Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923822",
    "drug_name": "deferasirox 90 MG Oral Granules",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923826",
    "drug_name": "deferasirox 360 MG Oral Granules",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1923828",
    "drug_name": "deferasirox 180 MG Oral Granules",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1924315",
    "drug_name": "raltegravir 600 MG Oral Tablet [Isentress]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1925255",
    "drug_name": "0.4 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1925257",
    "drug_name": "0.7 ML abatacept 125 MG/ML Prefilled Syringe [Orencia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1926069",
    "drug_name": "Ritonavir 100 MG Oral Powder [Norvir]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1926332",
    "drug_name": "0.5 UNT Doses 3 ML Insulin Lispro 100 UNT/ML Pen Injector [Humalog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1926823",
    "drug_name": "C1 esterase inhibitor (human) 2000 UNT Injection [Haegarda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1926827",
    "drug_name": "C1 esterase inhibitor (human) 3000 UNT Injection [Haegarda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1926946",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Aurovela Fe 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927366",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Aurovela 1/20 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927610",
    "drug_name": "3-Bead 24 HR Amphetamine aspartate 12.5 MG / Amphetamine Sulfate 12.5 MG / Dextroamphetamine saccharate 12.5 MG / Dextroamphetamine Sulfate 12.5 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927617",
    "drug_name": "3-Bead 24 HR Amphetamine aspartate 6.25 MG / Amphetamine Sulfate 6.25 MG / Dextroamphetamine saccharate 6.25 MG / Dextroamphetamine Sulfate 6.25 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927630",
    "drug_name": "3-Bead 24 HR Amphetamine aspartate 3.125 MG / Amphetamine Sulfate 3.125 MG / Dextroamphetamine saccharate 3.125 MG / Dextroamphetamine Sulfate 3.125 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927637",
    "drug_name": "3-Bead 24 HR Amphetamine aspartate 9.375 MG / Amphetamine Sulfate 9.375 MG / Dextroamphetamine saccharate 9.375 MG / Dextroamphetamine Sulfate 9.375 MG Extended Release Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927693",
    "drug_name": "prasterone 6.5 MG Vaginal Insert [Intrarosa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1927957",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MGOral Tablet) } Pack [Aurovela Fe 24 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1928007",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Aurovela 1.5/30 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1928689",
    "drug_name": "1 ML guselkumab 100 MG/ML Prefilled Syringe [Tremfya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1939299",
    "drug_name": "1 ML belimumab 200 MG/ML Auto-Injector [Benlysta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1939335",
    "drug_name": "sofosbuvir 400 MG / velpatasvir 100 MG / voxilaprevir 100 MG Oral Tablet [Vosevi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1939348",
    "drug_name": "1 ML belimumab 200 MG/ML Prefilled Syringe [Benlysta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1940372",
    "drug_name": "enasidenib 100 MG Oral Tablet [Idhifa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1940376",
    "drug_name": "enasidenib 50 MG Oral Tablet [Idhifa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1940498",
    "drug_name": "24 HR dapagliflozin 2.5 MG / Metformin hydrochloride 1000 MG Extended Release Oral Tablet [Xigduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1940654",
    "drug_name": "neratinib 40 MG Oral Tablet [Nerlynx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1940709",
    "drug_name": "glecaprevir 100 MG / pibrentasvir 40 MG Oral Tablet [Mavyret]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1941470",
    "drug_name": "nitisinone 10 MG Oral Tablet [Nityr]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1941473",
    "drug_name": "nitisinone 5 MG Oral Tablet [Nityr]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1941476",
    "drug_name": "nitisinone 2 MG Oral Tablet [Nityr]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1942485",
    "drug_name": "olaparib 100 MG Oral Tablet [Lynparza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1942489",
    "drug_name": "olaparib 150 MG Oral Tablet [Lynparza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1945044",
    "drug_name": "14 ACTUAT fluticasone furoate 0.1 MG/ACTUAT / umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Trelegy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1945048",
    "drug_name": "30 ACTUAT fluticasone furoate 0.1 MG/ACTUAT / umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Trelegy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1946525",
    "drug_name": "Matrix Delivery 24 HR tramadol hydrochloride 300 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1946527",
    "drug_name": "Matrix Delivery 24 HR tramadol hydrochloride 200 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1946836",
    "drug_name": "abemaciclib 50 MG Oral Tablet [Verzenio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1946840",
    "drug_name": "abemaciclib 100 MG Oral Tablet [Verzenio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1946844",
    "drug_name": "abemaciclib 150 MG Oral Tablet [Verzenio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1946848",
    "drug_name": "abemaciclib 200 MG Oral Tablet [Verzenio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1986331",
    "drug_name": "valbenazine 80 MG Oral Capsule [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1986354",
    "drug_name": "Niacinamide insulin aspart, human 100 UNT/ML Injectable Solution [Fiasp]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1986356",
    "drug_name": "Niacinamide 3 ML insulin aspart, human 100 UNT/ML Pen Injector [Fiasp]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1986791",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75MG Oral Tablet) } Pack [Aurovela Fe 1.5/30 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1987647",
    "drug_name": "Lidocaine Hydrochloride 40 MG/ML Topical Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1987732",
    "drug_name": "bosutinib 400 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1987734",
    "drug_name": "bosutinib 400 MG Oral Tablet [Bosulif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988308",
    "drug_name": "24 HR Diltiazem Hydrochloride 120 MG Extended Release Oral Capsule [Tiadylt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988311",
    "drug_name": "24 HR Diltiazem Hydrochloride 180 MG Extended Release Oral Capsule [Tiadylt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988316",
    "drug_name": "24 HR Diltiazem Hydrochloride 240 MG Extended Release Oral Capsule [Tiadylt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988319",
    "drug_name": "24 HR Diltiazem Hydrochloride 300 MG Extended Release Oral Capsule [Tiadylt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988324",
    "drug_name": "24 HR Diltiazem Hydrochloride 360 MG Extended Release Oral Capsule [Tiadylt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988330",
    "drug_name": "24 HR Diltiazem Hydrochloride 420 MG Extended Release Oral Capsule [Tiadylt]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988671",
    "drug_name": "letermovir 240 MG Oral Tablet [Prevymis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988675",
    "drug_name": "letermovir 480 MG Oral Tablet [Prevymis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988768",
    "drug_name": "brigatinib 90 MG Oral Tablet [Alunbrig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988772",
    "drug_name": "brigatinib 180 MG Oral Tablet [Alunbrig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988786",
    "drug_name": "{23 (brigatinib 180 MG Oral Tablet [Alunbrig]) / 7 (brigatinib 90 MG Oral Tablet [Alunbrig]) } Pack[Alunbrig Initiation Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988974",
    "drug_name": "24 HR pregabalin 165 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988977",
    "drug_name": "24 HR pregabalin 330 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1988980",
    "drug_name": "24 HR pregabalin 82.5 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1989081",
    "drug_name": "bosentan 32 MG Tablet for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1989109",
    "drug_name": "1 ML benralizumab 30 MG/ML Prefilled Syringe [Fasenra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1989506",
    "drug_name": "dolutegravir 50 MG / Rilpivirine 25 MG Oral Tablet [Juluca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1989507",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MGOral Tablet) } Pack [Hailey 24 Fe 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1989873",
    "drug_name": "{21 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 7 (Ferrous fumarate 75 MGOral Tablet) } Pack [Hailey Fe 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1991329",
    "drug_name": "NDA201739 0.1 ML Epinephrine 1 MG/ML Auto-Injector [Auvi-Q]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992169",
    "drug_name": "Insulin Lispro 100 UNT/ML Injectable Solution [Admelog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992171",
    "drug_name": "3 ML Insulin Lispro 100 UNT/ML Pen Injector [Admelog]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992273",
    "drug_name": "Emollient Clobetasol Propionate 0.5 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992281",
    "drug_name": "Emollient Clobetasol Propionate 0.5 MG/ML Topical Cream",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992299",
    "drug_name": "24 HR Timolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992303",
    "drug_name": "12 HR Timolol 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992428",
    "drug_name": "{74 (apixaban 5 MG Oral Tablet [Eliquis]) } Pack [Eliquis 30-Day Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1992873",
    "drug_name": "netarsudil 0.2 MG/ML Ophthalmic Solution [Rhopressa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1993222",
    "drug_name": "benznidazole 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1994362",
    "drug_name": "Ibrutinib 70 MG Oral Capsule [Imbruvica]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1994758",
    "drug_name": "{21 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tablet) / 7 (Inert Ingredients 1 MG OralTablet) } Pack [VyLibra 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1994764",
    "drug_name": "{7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.035 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1995461",
    "drug_name": "24 HR Methylphenidate Hydrochloride 72 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1995479",
    "drug_name": "amylase 168000 UNT / lipase 40000 UNT / protease 126000 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1998631",
    "drug_name": "American house dust mite allergenic extract 6 SQ-HDM / European house dust mite allergenic extract 6SQ-HDM Sublingual Tablet [Odactra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999314",
    "drug_name": "hydroxyurea 100 MG Oral Tablet [Siklos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999316",
    "drug_name": "hydroxyurea 1000 MG Oral Tablet [Siklos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999389",
    "drug_name": "{28 (ivacaftor 150 MG / tezacaftor 100 MG Oral Tablet) / 28 (ivacaftor 150 MG Oral Tablet) } Pack [Symdeko (100 MG / 150 MG; 150 MG)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999587",
    "drug_name": "apalutamide 60 MG Oral Tablet [Erleada]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999657",
    "drug_name": "12 HR doxylamine succinate 20 MG / Pyridoxine Hydrochloride 20 MG Extended Release Oral Tablet [Bonjesta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999673",
    "drug_name": "bictegravir 50 MG / emtricitabine 200 MG / tenofovir alafenamide 25 MG Oral Tablet [Biktarvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "1999724",
    "drug_name": "{21 (drospirenone 3 MG / Ethinyl Estradiol 0.03 MG / levomefolate calcium 0.451 MG Oral Tablet) / 7(levomefolate calcium 0.451 MG Oral Tablet) } Pack [Tydemy 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2000007",
    "drug_name": "1 ML glatiramer acetate 40 MG/ML Prefilled Syringe [Glatopa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2000019",
    "drug_name": "Ibrutinib 140 MG Oral Tablet [Imbruvica]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2000023",
    "drug_name": "Ibrutinib 280 MG Oral Tablet [Imbruvica]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2000027",
    "drug_name": "Ibrutinib 420 MG Oral Tablet [Imbruvica]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2000127",
    "drug_name": "Vancomycin 25 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2000134",
    "drug_name": "Vancomycin 50 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001319",
    "drug_name": "Roflumilast 0.25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001424",
    "drug_name": "efavirenz 400 MG / Lamivudine 300 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001506",
    "drug_name": "lamotrigine 150 MG Oral Tablet [Subvenite]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001508",
    "drug_name": "lamotrigine 25 MG Oral Tablet [Subvenite]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001564",
    "drug_name": "BX Rating 24 HR Methylphenidate Hydrochloride 18 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001565",
    "drug_name": "BX Rating 24 HR Methylphenidate Hydrochloride 27 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001566",
    "drug_name": "BX Rating 24 HR Methylphenidate Hydrochloride 36 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001568",
    "drug_name": "BX Rating 24 HR Methylphenidate Hydrochloride 54 MG Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001751",
    "drug_name": "{7 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MGOral Tablet) } Pack [Jaimiess 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2001756",
    "drug_name": "{21 (Desogestrel 0.15 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 5 (Ethinyl Estradiol 0.01 MG Oral Tablet) / 2 (Inert Ingredients 1 MG Oral Tablet) } Pack [Volnea 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2002420",
    "drug_name": "3 ML Insulin Glargine 300 UNT/ML Pen Injector [Toujeo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2002717",
    "drug_name": "nilotinib 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003255",
    "drug_name": "Lamivudine 300 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet [Cimduo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003375",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 4 (Inert Ingredients 1 MG Oral Tablet) } Pack [Lo-Zumandimine 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003710",
    "drug_name": "Levonorgestrel 1.5 MG Oral Tablet [New Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003757",
    "drug_name": "1.14 ML sarilumab 132 MG/ML Auto-Injector [Kevzara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003767",
    "drug_name": "1.14 ML sarilumab 175 MG/ML Auto-Injector [Kevzara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003796",
    "drug_name": "lamotrigine 100 MG Oral Tablet [Subvenite]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003797",
    "drug_name": "{14 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 84 (lamotrigine 25 MG Oral Tablet [Subvenite]) }Pack [Subvenite Green (for Patients Taking Carbamazepine, Phenytoin, Phenobarbital, or Primidone and",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003798",
    "drug_name": "{7 (lamotrigine 100 MG Oral Tablet [Subvenite]) / 42 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Orange (for Patients Not Taking Carbamazepine, Phenytoin, Phenobarbital, Primidone, o",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003799",
    "drug_name": "{35 (lamotrigine 25 MG Oral Tablet [Subvenite]) } Pack [Subvenite Blue (for Patients Taking Valproate)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2003801",
    "drug_name": "lamotrigine 200 MG Oral Tablet [Subvenite]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044355",
    "drug_name": "tolvaptan 15 MG Oral Tablet [Jynarque]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044357",
    "drug_name": "tolvaptan 30 MG Oral Tablet [Jynarque]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044928",
    "drug_name": "fostamatinib 100 MG Oral Tablet [Tavalisse]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044932",
    "drug_name": "fostamatinib 150 MG Oral Tablet [Tavalisse]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044966",
    "drug_name": "{28 (tolvaptan 30 MG Oral Tablet) / 28 (tolvaptan 60 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044967",
    "drug_name": "{28 (tolvaptan 30 MG Oral Tablet [Jynarque]) / 28 (tolvaptan 60 MG Oral Tablet [Jynarque]) } Pack [Jynarque 60/30 Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044968",
    "drug_name": "{28 (tolvaptan 15 MG Oral Tablet) / 28 (tolvaptan 45 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044969",
    "drug_name": "{28 (tolvaptan 15 MG Oral Tablet [Jynarque]) / 28 (tolvaptan 45 MG Oral Tablet [Jynarque]) } Pack [Jynarque 45/15 Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044970",
    "drug_name": "{28 (tolvaptan 30 MG Oral Tablet) / 28 (tolvaptan 90 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2044971",
    "drug_name": "{28 (tolvaptan 30 MG Oral Tablet [Jynarque]) / 28 (tolvaptan 90 MG Oral Tablet [Jynarque]) } Pack [Jynarque 90/30 Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045196",
    "drug_name": "{21 (drospirenone 3 MG / Ethinyl Estradiol 0.03 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Zumandimine 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045382",
    "drug_name": "30 ACTUAT fluticasone furoate 0.05 MG/ACTUAT Dry Powder Inhaler [Arnuity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045493",
    "drug_name": "fingolimod 0.25 MG Oral Capsule [Gilenya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045638",
    "drug_name": "1 ML erenumab-aooe 70 MG/ML Auto-Injector [Aimovig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045958",
    "drug_name": "avatrombopag 20 MG Oral Tablet [Doptelet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045959",
    "drug_name": "{10 (avatrombopag 20 MG Oral Tablet [Doptelet]) } Pack [Doptelet 40 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2045961",
    "drug_name": "{15 (avatrombopag 20 MG Oral Tablet [Doptelet]) } Pack [Doptelet 60 MG Daily Dose Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2046370",
    "drug_name": "0.5 ML pegvaliase-pqpz 20 MG/ML Prefilled Syringe [Palynziq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2046376",
    "drug_name": "0.5 ML pegvaliase-pqpz 5 MG/ML Prefilled Syringe [Palynziq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2046380",
    "drug_name": "1 ML pegvaliase-pqpz 20 MG/ML Prefilled Syringe [Palynziq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2046585",
    "drug_name": "abiraterone acetate 125 MG Oral Tablet [Yonsa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2046591",
    "drug_name": "lofexidine 0.18 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2047247",
    "drug_name": "baricitinib 2 MG Oral Tablet [Olumiant]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2047639",
    "drug_name": "sodium zirconium cyclosilicate 5000 MG Powder for Oral Suspension [Lokelma]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2047646",
    "drug_name": "halobetasol propionate 0.5 MG/ML Topical Foam",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2047760",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Hailey 1.5/30 21Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2047882",
    "drug_name": "1 ML testosterone cypionate 200 MG/ML Injection",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2048566",
    "drug_name": "tofacitinib 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2048568",
    "drug_name": "tofacitinib 10 MG Oral Tablet [Xeljanz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2048916",
    "drug_name": "Estradiol 0.01 MG Vaginal Insert [Imvexxy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2048918",
    "drug_name": "Estradiol 0.004 MG Vaginal Insert [Imvexxy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049121",
    "drug_name": "encorafenib 75 MG Oral Capsule [Braftovi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049133",
    "drug_name": "Binimetinib 15 MG Oral Tablet [Mektovi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049264",
    "drug_name": "{84 (Ethinyl Estradiol 0.03 MG / Levonorgestrel 0.15 MG Oral Tablet) / 7 (Inert Ingredients 1 MG Oral Tablet) } Pack [Iclevia 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049271",
    "drug_name": "pimavanserin 10 MG Oral Tablet [Nuplazid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049278",
    "drug_name": "pimavanserin 34 MG Oral Capsule [Nuplazid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049380",
    "drug_name": "3 ML insulin isophane, human 70 UNT/ML / insulin, regular, human 30 UNT/ML Pen Injector [Novolin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049603",
    "drug_name": "crotamiton 100 MG/ML Topical Lotion [Crotan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049677",
    "drug_name": "cobicistat 150 MG / darunavir 800 MG / emtricitabine 200 MG / tenofovir alafenamide 10 MG Oral Tablet [Symtuza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049858",
    "drug_name": "elagolix 150 MG Oral Tablet [Orilissa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049862",
    "drug_name": "elagolix 200 MG Oral Tablet [Orilissa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2049884",
    "drug_name": "ivosidenib 250 MG Oral Tablet [Tibsovo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2052064",
    "drug_name": "{28 (Norethindrone 0.35 MG Oral Tablet) } Pack [Incassia 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2052609",
    "drug_name": "Tacrolimus 0.2 MG Granules for Oral Suspension [Prograf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2052704",
    "drug_name": "Tacrolimus 1 MG Granules for Oral Suspension [Prograf]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2053512",
    "drug_name": "ivacaftor 125 MG / lumacaftor 100 MG Oral Granules [ORKAMBI]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2053519",
    "drug_name": "ivacaftor 188 MG / lumacaftor 150 MG Oral Granules [ORKAMBI]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2053927",
    "drug_name": "sodium zirconium cyclosilicate 10000 MG Powder for Oral Suspension [Lokelma]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054102",
    "drug_name": "tafenoquine 100 MG Oral Tablet [Arakoda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054120",
    "drug_name": "glycopyrronium 24 MG/ML Medicated Pad [Qbrexza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054157",
    "drug_name": "{30 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 4]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054159",
    "drug_name": "{90 (lenvatinib 4 MG Oral Capsule [Lenvima]) } Pack [Lenvima 12]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054263",
    "drug_name": "migalastat 123 MG Oral Capsule [Galafold]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054269",
    "drug_name": "{7 (valbenazine 40 MG Oral Capsule [Ingrezza]) / 21 (valbenazine 80 MG Oral Capsule [Ingrezza]) } Pack [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054275",
    "drug_name": "{14 (migalastat 123 MG Oral Capsule [Galafold]) } Pack [Galafold 28 Day Wallet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054310",
    "drug_name": "{8 (Estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Maintenance Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054313",
    "drug_name": "{18 (Estradiol 0.004 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 4 MCG Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054316",
    "drug_name": "{8 (Estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Maintenance Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054318",
    "drug_name": "{18 (Estradiol 0.01 MG Vaginal Insert [Imvexxy]) } Pack [Imvexxy 10 MCG Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054979",
    "drug_name": "stiripentol 250 MG Oral Capsule [Diacomit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2054983",
    "drug_name": "stiripentol 500 MG Oral Capsule [Diacomit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2055014",
    "drug_name": "stiripentol 500 MG Powder for Oral Suspension [Diacomit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2055016",
    "drug_name": "stiripentol 250 MG Powder for Oral Suspension [Diacomit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2055026",
    "drug_name": "Cyclosporine 0.9 MG/ML Ophthalmic Solution [Cequa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2055766",
    "drug_name": "DORAVIRINE 100 MG Oral Tablet [Pifeltro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2055815",
    "drug_name": "DORAVIRINE 100 MG / Lamivudine 300 MG / Tenofovir disoproxil fumarate 300 MG Oral Tablet [Delstrigo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2055989",
    "drug_name": "273 DAY Ethinyl Estradiol 0.000542 MG/HR / segesterone acetate 0.00625 MG/HR Vaginal System [Annovera]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056466",
    "drug_name": "Levothyroxine Sodium 0.025 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056470",
    "drug_name": "Levothyroxine Sodium 0.05 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056474",
    "drug_name": "Levothyroxine Sodium 0.075 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056478",
    "drug_name": "Levothyroxine Sodium 0.088 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056482",
    "drug_name": "Levothyroxine Sodium 0.1 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056486",
    "drug_name": "Levothyroxine Sodium 0.112 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056490",
    "drug_name": "Levothyroxine Sodium 0.125 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056494",
    "drug_name": "Levothyroxine Sodium 0.013 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056498",
    "drug_name": "Levothyroxine Sodium 0.137 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056502",
    "drug_name": "Levothyroxine Sodium 0.15 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056506",
    "drug_name": "Levothyroxine Sodium 0.175 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056510",
    "drug_name": "Levothyroxine Sodium 0.2 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2056895",
    "drug_name": "everolimus 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058520",
    "drug_name": "Duvelisib 15 MG Oral Capsule [Copiktra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058525",
    "drug_name": "Duvelisib 25 MG Oral Capsule [Copiktra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058845",
    "drug_name": "Levorphanol Tartrate 3 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058877",
    "drug_name": "1 ML galcanezumab-gnlm 120 MG/ML Auto-Injector [Emgality]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058887",
    "drug_name": "1 ML galcanezumab-gnlm 120 MG/ML Prefilled Syringe [Emgality]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058906",
    "drug_name": "cannabidiol 100 MG/ML Oral Solution [Epidiolex]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058946",
    "drug_name": "1 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058950",
    "drug_name": "0.5 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2058980",
    "drug_name": "eltrombopag 12.5 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2059015",
    "drug_name": "rivaroxaban 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2059017",
    "drug_name": "rivaroxaban 2.5 MG Oral Tablet [Xarelto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2059189",
    "drug_name": "amikacin liposomal 70.3 MG/ML Inhalation Suspension [Arikayce]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2059266",
    "drug_name": "Riluzole 5 MG/ML Oral Suspension [Tiglutik]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2059280",
    "drug_name": "omadacycline 150 MG Oral Tablet [Nuzyra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099302",
    "drug_name": "1.14 ML dupilumab 175 MG/ML Prefilled Syringe [Dupixent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099508",
    "drug_name": "{21 (Ethinyl Estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) / 7 (Ferrous fumarate 75MG Oral Tablet) } Pack [Hailey Fe 1.5/30 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099686",
    "drug_name": "0.5 ML testosterone enanthate 200 MG/ML Auto-Injector [Xyosted]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099691",
    "drug_name": "0.5 ML testosterone enanthate 100 MG/ML Auto-Injector [Xyosted]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099697",
    "drug_name": "0.5 ML testosterone enanthate 150 MG/ML Auto-Injector [Xyosted]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099768",
    "drug_name": "{42 (doxycycline hyclate 100 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099952",
    "drug_name": "talazoparib 0.25 MG Oral Capsule [Talzenna]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2099956",
    "drug_name": "talazoparib 1 MG Oral Capsule [Talzenna]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2100010",
    "drug_name": "Baloxavir marboxil 40 MG Oral Tablet [Xofluza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2101899",
    "drug_name": "Sodium polystyrene sulfonate 15000 MG Powder for Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2102713",
    "drug_name": "clobazam 10 MG Oral Film [Sympazan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2102715",
    "drug_name": "clobazam 20 MG Oral Film [Sympazan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2102717",
    "drug_name": "clobazam 5 MG Oral Film [Sympazan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2103175",
    "drug_name": "Lorlatinib 25 MG Oral Tablet [Lorbrena]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2103179",
    "drug_name": "Lorlatinib 100 MG Oral Tablet [Lorbrena]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2104192",
    "drug_name": "{7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.18 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG /norgestimate 0.215 MG Oral Tablet) / 7 (Ethinyl Estradiol 0.025 MG / norgestimate 0.25 MG Oral Tabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2104341",
    "drug_name": "cenegermin-bkbj 0.02 MG/ML Ophthalmic Solution [Oxervate]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2105645",
    "drug_name": "larotrectinib 100 MG Oral Capsule [Vitrakvi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2105653",
    "drug_name": "larotrectinib 20 MG/ML Oral Solution [Vitrakvi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2105657",
    "drug_name": "larotrectinib 25 MG Oral Capsule [Vitrakvi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2105817",
    "drug_name": "gilteritinib 40 MG Oral Tablet [Xospata]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2105856",
    "drug_name": "glasdegib 100 MG Oral Tablet [Daurismo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2105860",
    "drug_name": "glasdegib 25 MG Oral Tablet [Daurismo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2106997",
    "drug_name": "{24 (drospirenone 3 MG / Ethinyl Estradiol 0.02 MG Oral Tablet) / 4 (Inert Ingredients 1 MG Oral Tablet) } Pack [Jasmiel 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2107008",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) / 4 (Ferrous fumarate 75 MGOral Tablet) } Pack [Tarina 24 FE 1/20 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2107345",
    "drug_name": "prucalopride 1 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2107353",
    "drug_name": "prucalopride 2 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2107518",
    "drug_name": "amifampridine 10 MG Oral Tablet [Firdapse]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2107621",
    "drug_name": "Levodopa 42 MG Inhalation Powder [Inbrija]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2108930",
    "drug_name": "Estradiol 1 MG / Progesterone 100 MG Oral Capsule [Bijuva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2109239",
    "drug_name": "tafenoquine 150 MG Oral Tablet [Krintafel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2109530",
    "drug_name": "Sodium Chloride 70 MG/ML Inhalation Solution [PulmoSal]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110455",
    "drug_name": "Pulmonary Hypertension tadalafil 20 MG Oral Tablet [Alyq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110510",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.1 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110513",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.25 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110516",
    "drug_name": "60 ACTUAT Fluticasone propionate 0.5 MG/ACTUAT / salmeterol 0.05 MG/ACTUAT Dry Powder Inhaler [Wixela]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110618",
    "drug_name": "caplacizumab-yhdp 11 MG Injection [Cablivi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110774",
    "drug_name": "84 HR Estradiol 0.00104 MG/HR Transdermal System [Dotti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110777",
    "drug_name": "84 HR Estradiol 0.00156 MG/HR Transdermal System [Dotti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110780",
    "drug_name": "84 HR Estradiol 0.00208 MG/HR Transdermal System [Dotti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110783",
    "drug_name": "84 HR Estradiol 0.00313 MG/HR Transdermal System [Dotti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2110786",
    "drug_name": "84 HR Estradiol 0.00417 MG/HR Transdermal System [Dotti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2117770",
    "drug_name": "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 84 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) } Pack [Lojaimiess 91 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2118539",
    "drug_name": "loteprednol etabonate 0.0038 MG/MG Ophthalmic Gel [Lotemax]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2118741",
    "drug_name": "1 ML guselkumab 100 MG/ML Auto-Injector [Tremfya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2119481",
    "drug_name": "Cetirizine 2.4 MG/ML Ophthalmic Solution [Zerviate]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2119706",
    "drug_name": "latanoprost 0.05 MG/ML / netarsudil 0.2 MG/ML Ophthalmic Solution [Rocklatan]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2120195",
    "drug_name": "1 ML erenumab-aooe 140 MG/ML Auto-Injector [Aimovig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2121061",
    "drug_name": "ceritinib 150 MG Oral Tablet [Zykadia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2121096",
    "drug_name": "siponimod 0.25 MG Oral Tablet [Mayzent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2121100",
    "drug_name": "siponimod 2 MG Oral Tablet [Mayzent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2121764",
    "drug_name": "Solriamfetol 75 MG Oral Tablet [Sunosi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122526",
    "drug_name": "dolutegravir 50 MG / Lamivudine 300 MG Oral Tablet [Dovato]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122634",
    "drug_name": "Cladribine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122641",
    "drug_name": "Cladribine 10 MG Oral Tablet [Mavenclad]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122642",
    "drug_name": "{9 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 9 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122648",
    "drug_name": "{8 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 8 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122649",
    "drug_name": "{7 (Cladribine 10 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122650",
    "drug_name": "{7 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 7 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122655",
    "drug_name": "{6 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 6 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122657",
    "drug_name": "{5 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 5 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122659",
    "drug_name": "{4 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 4 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122660",
    "drug_name": "{10 (Cladribine 10 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2122661",
    "drug_name": "{10 (Cladribine 10 MG Oral Tablet [Mavenclad]) } Pack [Mavenclad 10 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123072",
    "drug_name": "NDA021457 200 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123076",
    "drug_name": "NDA020983 200 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123111",
    "drug_name": "NDA020503 200 ACTUAT Albuterol 0.09 MG/ACTUAT Metered Dose Inhaler",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123137",
    "drug_name": "erdafitinib 3 MG Oral Tablet [Balversa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123141",
    "drug_name": "erdafitinib 4 MG Oral Tablet [Balversa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123145",
    "drug_name": "erdafitinib 5 MG Oral Tablet [Balversa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123194",
    "drug_name": "Pulmonary Hypertension tadalafil 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2123314",
    "drug_name": "{12 (siponimod 0.25 MG Oral Tablet [Mayzent]) } Pack [Mayzent 2 MG Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2166204",
    "drug_name": "10 ACTUAT tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Spiriva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2166401",
    "drug_name": "ivacaftor 25 MG Oral Granules [Kalydeco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2166928",
    "drug_name": "10 ACTUAT olodaterol 0.0025 MG/ACTUAT / tiotropium 0.0025 MG/ACTUAT Inhalation Spray [Stiolto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2168540",
    "drug_name": "tafamidis 61 MG Oral Capsule [Vyndamax]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2168596",
    "drug_name": "ivabradine 1 MG/ML Oral Solution [Corlanor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2169313",
    "drug_name": "alpelisib 200 MG Oral Tablet [Piqray]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2169314",
    "drug_name": "{28 (alpelisib 200 MG Oral Tablet [Piqray]) } Pack [Piqray 200 MG Daily Dose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2169320",
    "drug_name": "{28 (alpelisib 200 MG Oral Tablet [Piqray]) / 28 (alpelisib 50 MG Oral Tablet [Piqray]) } Pack [Piqray 250 MG Daily Dose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2169322",
    "drug_name": "{56 (alpelisib 150 MG Oral Tablet [Piqray]) } Pack [Piqray 300 MG Daily Dose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2170613",
    "drug_name": "1 ML galcanezumab-gnlm 100 MG/ML Prefilled Syringe [Emgality]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2170993",
    "drug_name": "1 ML mepolizumab 100 MG/ML Auto-Injector [Nucala]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2173500",
    "drug_name": "Midazolam 50 MG/ML Nasal Spray [Nayzilam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2173822",
    "drug_name": "1 ML mepolizumab 100 MG/ML Prefilled Syringe [Nucala]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2173841",
    "drug_name": "Solriamfetol 150 MG Oral Tablet [Sunosi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2174390",
    "drug_name": "{28 (ivacaftor 75 MG / tezacaftor 50 MG Oral Tablet) / 28 (ivacaftor 75 MG Oral Tablet) } Pack [Symdeko (50 MG / 75 MG; 75 MG)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2176321",
    "drug_name": "0.3 ML bremelanotide 5.83 MG/ML Auto-Injector [Vyleesi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2178075",
    "drug_name": "tiopronin 100 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2178079",
    "drug_name": "tiopronin 300 MG Delayed Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2178407",
    "drug_name": "{32 (Selinexor 20 MG Oral Tablet [Xpovio]) } Pack [Xpovio 80 MG Twice Weekly (160 MG total weekly dose) Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2179635",
    "drug_name": "tramadol hydrochloride 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2180336",
    "drug_name": "darolutamide 300 MG Oral Tablet [Nubeqa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2180345",
    "drug_name": "Emollient Clobetasol Propionate 0.5 MG/ML Topical Foam [Tovet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2180671",
    "drug_name": "Glucagon 3 MG Nasal Powder [Baqsimi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2180997",
    "drug_name": "deferiprone 1000 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2182340",
    "drug_name": "1 ML Etanercept 50 MG/ML Cartridge [Enbrel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2196900",
    "drug_name": "24 HR upadacitinib 15 MG Extended Release Oral Tablet [Rinvoq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2197501",
    "drug_name": "Fedratinib 100 MG Oral Capsule [Inrebic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2197873",
    "drug_name": "entrectinib 100 MG Oral Capsule [Rozlytrek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2197877",
    "drug_name": "entrectinib 200 MG Oral Capsule [Rozlytrek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2197890",
    "drug_name": "pitolisant 4.45 MG Oral Tablet [Wakix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2197894",
    "drug_name": "pitolisant 17.8 MG Oral Tablet [Wakix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2198370",
    "drug_name": "pretomanid 200 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2199026",
    "drug_name": "istradefylline 20 MG Oral Tablet [Nourianz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2199030",
    "drug_name": "istradefylline 40 MG Oral Tablet [Nourianz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2200518",
    "drug_name": "Metformin hydrochloride 100 MG/ML Extended Release Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2200650",
    "drug_name": "semaglutide 14 MG Oral Tablet [Rybelsus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2200654",
    "drug_name": "semaglutide 3 MG Oral Tablet [Rybelsus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2200658",
    "drug_name": "semaglutide 7 MG Oral Tablet [Rybelsus]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2203893",
    "drug_name": "sofosbuvir 200 MG Oral Tablet [Sovaldi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2203897",
    "drug_name": "ledipasvir 45 MG / sofosbuvir 200 MG Oral Tablet [Harvoni]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2203999",
    "drug_name": "sofosbuvir 150 MG Oral Pellet [Sovaldi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2204092",
    "drug_name": "sofosbuvir 200 MG Oral Pellet [Sovaldi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2204102",
    "drug_name": "ledipasvir 33.75 MG / sofosbuvir 150 MG Oral Pellet [Harvoni]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2204104",
    "drug_name": "ledipasvir 45 MG / sofosbuvir 200 MG Oral Pellet [Harvoni]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2205454",
    "drug_name": "Niacinamide 3 ML insulin aspart, human 100 UNT/ML Cartridge [Fiasp]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2205474",
    "drug_name": "baricitinib 1 MG Oral Tablet [Olumiant]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2205634",
    "drug_name": "1 ML benralizumab 30 MG/ML Auto-Injector [Fasenra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2206092",
    "drug_name": "3 ML insulin, regular, human 100 UNT/ML Pen Injector [Novolin R]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2206099",
    "drug_name": "3 ML insulin isophane, human 100 UNT/ML Pen Injector [Novolin N]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      },
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2257013",
    "drug_name": "{56 (elexacaftor 100 MG / ivacaftor 75 MG / tezacaftor 50 MG Oral Tablet) / 28 (ivacaftor 150 MG Oral Tablet) } Pack [Trikafta (100 MG / 50 MG / 75 MG; 150 MG)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2261794",
    "drug_name": "Diroximel fumarate 231 MG Delayed Release Oral Capsule [Vumerity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2262032",
    "drug_name": "Amoxicillin 250 MG / Omeprazole 10 MG / Rifabutin 12.5 MG Delayed Release Oral Capsule [Talicia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2262446",
    "drug_name": "zanubrutinib 80 MG Oral Capsule [Brukinsa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2265701",
    "drug_name": "Cenobamate 50 MG Oral Tablet [Xcopri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2266506",
    "drug_name": "21 DAY Ethinyl Estradiol 0.000625 MG/HR / Etonogestrel 0.005 MG/HR Vaginal System [EluRyng]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2268227",
    "drug_name": "ubrogepant 100 MG Oral Tablet [Ubrelvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2268231",
    "drug_name": "ubrogepant 50 MG Oral Tablet [Ubrelvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272118",
    "drug_name": "avapritinib 100 MG Oral Tablet [Ayvakit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272122",
    "drug_name": "avapritinib 200 MG Oral Tablet [Ayvakit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272126",
    "drug_name": "avapritinib 300 MG Oral Tablet [Ayvakit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272622",
    "drug_name": "{1 (0.1 ML) (Diazepam 100 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 10 MG Dose Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272624",
    "drug_name": "{2 (0.1 ML) (Diazepam 100 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 20 MG Dose Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272630",
    "drug_name": "{1 (0.1 ML) (Diazepam 50 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 5 MG Dose Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2272636",
    "drug_name": "{2 (0.1 ML) (Diazepam 75 MG/ML Nasal Spray [Valtoco]) } Pack [Valtoco 15 MG Dose Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2273115",
    "drug_name": "24 HR tofacitinib 22 MG Extended Release Oral Tablet [Xeljanz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2274813",
    "drug_name": "{28 (tolvaptan 15 MG Oral Tablet) / 28 (tolvaptan 30 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2274814",
    "drug_name": "{28 (tolvaptan 15 MG Oral Tablet [Jynarque]) / 28 (tolvaptan 30 MG Oral Tablet [Jynarque]) } Pack [Jynarque 30/15 Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2274815",
    "drug_name": "{56 (tolvaptan 15 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2274816",
    "drug_name": "{56 (tolvaptan 15 MG Oral Tablet [Jynarque]) } Pack [Jynarque 15/15 Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279424",
    "drug_name": "peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279425",
    "drug_name": "{2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 40 MG (Level 5)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279427",
    "drug_name": "{3 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 3 MG (Level 1)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279429",
    "drug_name": "{6 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 6 MG (Level 2)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279435",
    "drug_name": "{2 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 10 MG Oral Powder [Palforzia]) } Pack [Palforzia 12 MG (Level 3)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279437",
    "drug_name": "{1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 20 MG (Level 4)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279439",
    "drug_name": "{4 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 80 MG (Level 6)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279445",
    "drug_name": "{1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 1 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 120 MG (Level 7)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279447",
    "drug_name": "{1 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 3 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 160 MG (Level 8)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279449",
    "drug_name": "{2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) } Pack [Palforzia 200 MG(Level 9)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279451",
    "drug_name": "{2 (peanut (Arachis hypogaea) allergen-dnfp 100 MG Oral Powder [Palforzia]) / 2 (peanut (Arachis hypogaea) allergen-dnfp 20 MG Oral Powder [Palforzia]) } Pack [Palforzia 240 MG (Level 10)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279456",
    "drug_name": "peanut (Arachis hypogaea) allergen-dnfp 300 MG Oral Powder [Palforzia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279457",
    "drug_name": "{1 (peanut (Arachis hypogaea) allergen-dnfp 300 MG Oral Powder [Palforzia]) } Pack [Palforzia 300 MG(Level 11)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2279847",
    "drug_name": "fidaxomicin 40 MG/ML Oral Suspension [Dificid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2280761",
    "drug_name": "{24 (Ethinyl Estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (Ferrous fumarate 75 MG Oral Tablet) } Pack [Charlotte 24 Fe Chewable 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2282320",
    "drug_name": "Rimegepant 75 MG Disintegrating Oral Tablet [Nurtec]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2282414",
    "drug_name": "bempedoic acid 180 MG Oral Tablet [Nexletol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283236",
    "drug_name": "bempedoic acid 180 MG / ezetimibe 10 MG Oral Tablet [Nexlizet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283505",
    "drug_name": "Cenobamate 100 MG Oral Tablet [Xcopri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283509",
    "drug_name": "Cenobamate 150 MG Oral Tablet [Xcopri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283513",
    "drug_name": "Cenobamate 200 MG Oral Tablet [Xcopri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283518",
    "drug_name": "{28 (Cenobamate 150 MG Oral Tablet [Xcopri]) / 28 (Cenobamate 200 MG Oral Tablet) } Pack [Xcopri 350MG Maintenance Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283527",
    "drug_name": "Cenobamate 25 MG Oral Tablet [Xcopri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283536",
    "drug_name": "{14 (Cenobamate 100 MG Oral Tablet [Xcopri]) / 14 (Cenobamate 50 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 50 MG (14), 100 MG (14) 28 Count]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283538",
    "drug_name": "{14 (Cenobamate 12.5 MG Oral Tablet [Xcopri]) / 14 (Cenobamate 25 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 12.5 MG (14), 25 MG (14) 28 Count]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2283540",
    "drug_name": "{14 (Cenobamate 150 MG Oral Tablet [Xcopri]) / 14 (Cenobamate 200 MG Oral Tablet [Xcopri]) } Pack [Xcopri Titration Pack - 150 MG (14), 200 MG (14) 28 Count]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2284104",
    "drug_name": "palbociclib 100 MG Oral Tablet [Ibrance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2284106",
    "drug_name": "palbociclib 125 MG Oral Tablet [Ibrance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2284108",
    "drug_name": "palbociclib 75 MG Oral Tablet [Ibrance]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2284514",
    "drug_name": "Cysteamine 300 MG Delayed Release Oral Granules [Procysbi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2284516",
    "drug_name": "Cysteamine 75 MG Delayed Release Oral Granules [Procysbi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2286281",
    "drug_name": "osilodrostat 1 MG Oral Tablet [Isturisa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2286290",
    "drug_name": "osilodrostat 5 MG Oral Tablet [Isturisa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2288412",
    "drug_name": "ozanimod 0.92 MG Oral Capsule [Zeposia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2288433",
    "drug_name": "{4 (ozanimod 0.23 MG Oral Capsule [Zeposia]) / 3 (ozanimod 0.46 MG Oral Capsule [Zeposia]) } Pack [Zeposia 7-Day Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2288816",
    "drug_name": "sofosbuvir 200 MG / velpatasvir 50 MG Oral Tablet [Epclusa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2289424",
    "drug_name": "selumetinib 10 MG Oral Capsule [Koselugo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2289428",
    "drug_name": "selumetinib 25 MG Oral Capsule [Koselugo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359285",
    "drug_name": "24 HR empagliflozin 10 MG / linagliptin 5 MG / metformin hydrochloride 1000 MG Extended Release OralTablet [Trijardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359290",
    "drug_name": "24 HR empagliflozin 12.5 MG / linagliptin 2.5 MG / metformin hydrochloride 1000 MG Extended ReleaseOral Tablet [Trijardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359340",
    "drug_name": "pemigatinib 13.5 MG Oral Tablet [Pemazyre]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359344",
    "drug_name": "pemigatinib 4.5 MG Oral Tablet [Pemazyre]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359348",
    "drug_name": "pemigatinib 9 MG Oral Tablet [Pemazyre]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359353",
    "drug_name": "24 HR empagliflozin 25 MG / linagliptin 5 MG / metformin hydrochloride 1000 MG Extended Release OralTablet [Trijardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2359358",
    "drug_name": "24 HR empagliflozin 5 MG / linagliptin 2.5 MG / metformin hydrochloride 1000 MG Extended Release Oral Tablet [Trijardy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2360548",
    "drug_name": "2.8 ML octreotide 2.5 MG/ML Pen Injector [Bynfezia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2361296",
    "drug_name": "tucatinib 150 MG Oral Tablet [Tukysa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2361300",
    "drug_name": "tucatinib 50 MG Oral Tablet [Tukysa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2361313",
    "drug_name": "nimodipine 6 MG/ML Oral Solution [Nymalize]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2362178",
    "drug_name": "opicapone 25 MG Oral Capsule [Ongentys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2362182",
    "drug_name": "opicapone 50 MG Oral Capsule [Ongentys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2362240",
    "drug_name": "capmatinib 150 MG Oral Tablet [Tabrecta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2362244",
    "drug_name": "capmatinib 200 MG Oral Tablet [Tabrecta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2369403",
    "drug_name": "ripretinib 50 MG Oral Tablet [Qinlock]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2371768",
    "drug_name": "{28 (elagolix 300 MG / estradiol 1 MG / norethindrone 0.5 MG Oral Capsule) / 28 (elagolix 300 MG Oral Capsule) } Pack [Oriahnn 28 Day Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2373941",
    "drug_name": "bedaquiline 20 MG Oral Tablet [Sirturo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2374566",
    "drug_name": "dolutegravir 5 MG Tablet for Oral Suspension [Tivicay]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2375329",
    "drug_name": "2 ML dupilumab 150 MG/ML Auto-Injector [Dupixent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2380236",
    "drug_name": "insulin lispro-aabc 100 UNT/ML Injectable Solution [Lyumjev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2380256",
    "drug_name": "3 ML insulin lispro-aabc 200 UNT/ML Pen Injector [Lyumjev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2380260",
    "drug_name": "3 ML insulin lispro-aabc 100 UNT/ML Pen Injector [Lyumjev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2380551",
    "drug_name": "12 HR fostemsavir 600 MG Extended Release Oral Tablet [Rukobia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2380617",
    "drug_name": "octreotide 20 MG Delayed Release Oral Capsule [Mycapssa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2382990",
    "drug_name": "{24 (selinexor 20 MG Oral Tablet [Xpovio]) } Pack [Xpovio 60 MG Twice Weekly (120 MG total weekly dose) Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2383561",
    "drug_name": "triheptanoin 1000 MG/ML Oral Solution [Dojolvi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2384464",
    "drug_name": "cedazuridine 100 MG / decitabine 35 MG Oral Tablet [Inqovi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2384465",
    "drug_name": "{5 (cedazuridine 100 MG / decitabine 35 MG Oral Tablet [Inqovi]) } Pack [Inqovi 5 Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2387328",
    "drug_name": "28 ACTUAT budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0048 MG/ACTUAT / glycopyrrolate 0.009 MG/ACTUAT Metered Dose Inhaler [Breztri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2387331",
    "drug_name": "120 ACTUAT budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0048 MG/ACTUAT / glycopyrrolate 0.009 MG/ACTUAT Metered Dose Inhaler [Breztri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2390646",
    "drug_name": "enzalutamide 40 MG Oral Tablet [Xtandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2390650",
    "drug_name": "enzalutamide 80 MG Oral Tablet [Xtandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2390946",
    "drug_name": "Risdiplam 0.75 MG/ML Oral Solution [Evrysdi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2390954",
    "drug_name": "0.4 ML ofatumumab 50 MG/ML Pen Injector [Kesimpta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2391560",
    "drug_name": "1 ML satralizumab-mwge 120 MG/ML Prefilled Syringe [Enspryng]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2391754",
    "drug_name": "oxymetazoline hydrochloride 1 MG/ML Ophthalmic Solution [Upneeq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2392142",
    "drug_name": "0.5 ML etanercept 50 MG/ML Injection [Enbrel]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2393593",
    "drug_name": "monomethyl fumarate 95 MG Delayed Release Oral Capsule [Bafiertam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2393794",
    "drug_name": "calcium oxybate 234 MG/ML / magnesium oxybate 96 MG/ML / potassium oxybate 130 MG/ML / sodium oxybate 40 MG/ML Oral Solution [Xywav]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2394947",
    "drug_name": "pralsetinib 100 MG Oral Capsule [Gavreto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2395771",
    "drug_name": "14 ACTUAT fluticasone furoate 0.2 MG/ACTUAT / umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Trelegy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2395775",
    "drug_name": "30 ACTUAT fluticasone furoate 0.2 MG/ACTUAT / umeclidinium 0.0625 MG/ACTUAT / vilanterol 0.025 MG/ACTUAT Dry Powder Inhaler [Trelegy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2395779",
    "drug_name": "0.5 ML dulaglutide 6 MG/ML Auto-Injector [Trulicity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2395785",
    "drug_name": "0.5 ML dulaglutide 9 MG/ML Auto-Injector [Trulicity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2396770",
    "drug_name": "azacitidine 200 MG Oral Tablet [Onureg]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2396774",
    "drug_name": "azacitidine 300 MG Oral Tablet [Onureg]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2396905",
    "drug_name": "cysteamine 3.8 MG/ML Ophthalmic Solution [Cystadrops]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2397128",
    "drug_name": "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Lyleq 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2397991",
    "drug_name": "nifurtimox 30 MG Oral Tablet [Lampit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2397994",
    "drug_name": "nifurtimox 120 MG Oral Tablet [Lampit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2398842",
    "drug_name": "3 ML semaglutide 1.34 MG/ML Pen Injector [Ozempic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2399892",
    "drug_name": "84 HR estradiol 0.00104 MG/HR Transdermal System [Lyllana]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2399895",
    "drug_name": "84 HR estradiol 0.00156 MG/HR Transdermal System [Lyllana]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2399898",
    "drug_name": "84 HR estradiol 0.00208 MG/HR Transdermal System [Lyllana]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2399901",
    "drug_name": "84 HR estradiol 0.00313 MG/HR Transdermal System [Lyllana]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2399904",
    "drug_name": "84 HR estradiol 0.00417 MG/HR Transdermal System [Lyllana]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2463741",
    "drug_name": "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Gemmily 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2464843",
    "drug_name": "loteprednol etabonate 2.5 MG/ML Ophthalmic Suspension [Eysuvis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2465331",
    "drug_name": "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Chewable Tablet) / 7 (inert ingredients 1 MGChewable Tablet) } Pack [Tyblume 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2465556",
    "drug_name": "magnesium sulfate 225 MG / potassium chloride 188 MG / sodium sulfate 1479 MG Oral Tablet [Sutab]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2467571",
    "drug_name": "berotralstat 150 MG Oral Capsule [Orladeyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2467575",
    "drug_name": "berotralstat 110 MG Oral Capsule [Orladeyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2467588",
    "drug_name": "lonafarnib 50 MG Oral Capsule [Zokinvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2467592",
    "drug_name": "lonafarnib 75 MG Oral Capsule [Zokinvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2468316",
    "drug_name": "tasimelteon 4 MG/ML Oral Suspension [Hetlioz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2469351",
    "drug_name": "setmelanotide 10 MG/ML Injectable Solution [Imcivree]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2471100",
    "drug_name": "tirbanibulin 0.01 MG/MG Topical Ointment [Klisyri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2471878",
    "drug_name": "betamethasone dipropionate 0.64 MG/ML / calcipotriene 0.05 MG/ML Topical Cream [Wynzora]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2472307",
    "drug_name": "{28 (ethinyl estradiol 0.02 MG / levonorgestrel 0.09 MG Oral Tablet) } Pack [Dolishale 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2472789",
    "drug_name": "relugolix 120 MG Oral Tablet [Orgovyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2473042",
    "drug_name": "ponatinib 10 MG Oral Tablet [Iclusig]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2473107",
    "drug_name": "isotretinoin 30 MG Oral Capsule [Accutane]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2473282",
    "drug_name": "levothyroxine sodium 0.02 MG/ML Oral Solution [Thyquidity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2475205",
    "drug_name": "cabotegravir 30 MG Oral Tablet [Vocabria]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2475406",
    "drug_name": "voclosporin 7.9 MG Oral Capsule [Lupkynis]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2475840",
    "drug_name": "mannitol 40 MG Inhalation Powder [Bronchitol]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2475852",
    "drug_name": "vericiguat 10 MG Oral Tablet [Verquvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2475856",
    "drug_name": "vericiguat 2.5 MG Oral Tablet [Verquvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2475860",
    "drug_name": "vericiguat 5 MG Oral Tablet [Verquvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2477272",
    "drug_name": "tepotinib 225 MG Oral Tablet [Tepmetko]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2478437",
    "drug_name": "tofacitinib 1 MG/ML Oral Solution [Xeljanz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2531285",
    "drug_name": "168 HR ethinyl estradiol 0.00146 MG/HR / norelgestromin 0.00625 MG/HR Transdermal System [Zafemy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2531297",
    "drug_name": "fosdenopterin 9.5 MG Injection [Nulibry]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2532159",
    "drug_name": "PMDD fluoxetine 10 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2532163",
    "drug_name": "PMDD fluoxetine 20 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2534244",
    "drug_name": "tivozanib 0.89 MG Oral Capsule [Fotivda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2534249",
    "drug_name": "tivozanib 1.34 MG Oral Capsule [Fotivda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2536742",
    "drug_name": "baloxavir marboxil 80 MG Oral Tablet [Xofluza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2540432",
    "drug_name": "{28 (cenobamate 100 MG Oral Tablet [Xcopri]) / 28 (cenobamate 150 MG Oral Tablet [Xcopri]) } Pack [Xcopri 250 MG Maintenance Pack - 100 MG (28), 150 MG (28) 56 Count]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2540695",
    "drug_name": "1 ML risankizumab-rzaa 150 MG/ML Auto-Injector [Skyrizi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2540699",
    "drug_name": "1 ML risankizumab-rzaa 150 MG/ML Prefilled Syringe [Skyrizi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2540709",
    "drug_name": "naloxone hydrochloride 80 MG/ML Nasal Spray [Kloxxado]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2541233",
    "drug_name": "24 HR mirabegron 8 MG/ML Extended Release Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2541237",
    "drug_name": "24 HR mirabegron 8 MG/ML Extended Release Suspension [Myrbetriq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2541513",
    "drug_name": "valbenazine 60 MG Oral Capsule [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2548736",
    "drug_name": "{4 (selinexor 60 MG Oral Tablet [Xpovio]) } Pack [Xpovio 60 MG Once Weekly Carton-60 MG Tablet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2548742",
    "drug_name": "{8 (selinexor 50 MG Oral Tablet [Xpovio]) } Pack [Xpovio 100 MG Once Weekly Carton-50 MG Tablets]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2548766",
    "drug_name": "{8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 80 MG Once Weekly Carton-40 MG Tablets]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2548767",
    "drug_name": "{8 (selinexor 40 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Twice Weekly (80 MG total weekly dose- 40 MG Tablets) Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2550713",
    "drug_name": "0.5 ML secukinumab 150 MG/ML Prefilled Syringe [Cosentyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2550725",
    "drug_name": "sotorasib 120 MG Oral Tablet [Lumakras]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2556800",
    "drug_name": "estradiol 1 MG / norethindrone acetate 0.5 MG / relugolix 40 MG Oral Tablet [Myfembree]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2557216",
    "drug_name": "{56 (elexacaftor 50 MG / ivacaftor 37.5 MG / tezacaftor 25 MG Oral Tablet) / 28 (ivacaftor 75 MG Oral Tablet) } Pack [Trikafta (50 MG / 37.5 MG / 25 MG; 75 MG)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2557391",
    "drug_name": "20 ML pegcetacoplan 54 MG/ML Injection [Empaveli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2557403",
    "drug_name": "1.5 ML somapacitan-beco 6.7 MG/ML Pen Injector [Sogroya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2557910",
    "drug_name": "glecaprevir 50 MG / pibrentasvir 20 MG Oral Pellet [Mavyret]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2559707",
    "drug_name": "1.14 ML dupilumab 175 MG/ML Auto-Injector [Dupixent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2559725",
    "drug_name": "avapritinib 25 MG Oral Tablet [Ayvakit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2559729",
    "drug_name": "avapritinib 50 MG Oral Tablet [Ayvakit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2562186",
    "drug_name": "dexmethylphenidate 5.2 MG / serdexmethylphenidate 26.1 MG Oral Capsule [Azstarys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2562199",
    "drug_name": "dexmethylphenidate 10.4 MG / serdexmethylphenidate 52.3 MG Oral Capsule [Azstarys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2562204",
    "drug_name": "dexmethylphenidate 7.8 MG / serdexmethylphenidate 39.2 MG Oral Capsule [Azstarys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2562822",
    "drug_name": "finerenone 10 MG Oral Tablet [Kerendia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2562826",
    "drug_name": "finerenone 20 MG Oral Tablet [Kerendia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2563989",
    "drug_name": "odevixibat 0.2 MG Oral Pellet [Bylvay]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2563993",
    "drug_name": "odevixibat 0.6 MG Oral Pellet [Bylvay]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2564001",
    "drug_name": "odevixibat 0.4 MG Oral Capsule [Bylvay]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2564005",
    "drug_name": "odevixibat 1.2 MG Oral Capsule [Bylvay]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2564037",
    "drug_name": "belumosudil 200 MG Oral Tablet [Rezurock]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2566314",
    "drug_name": "0.5 ML Streptococcus pneumoniae serotype 1 capsular antigen diphtheria CRM197 protein conjugate vaccine 0.0044 MG/ML / Streptococcus pneumoniae serotype 10A capsular antigen diphtheria CRM197 protein",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2566422",
    "drug_name": "0.5 ML Streptococcus pneumoniae serotype 1 capsular antigen diphtheria CRM197 protein conjugate vaccine 0.004 MG/ML / Streptococcus pneumoniae serotype 14 capsular antigen diphtheria CRM197 protein co",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2566439",
    "drug_name": "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Capsule) / 4 (ferrous fumarate 75 MG Oral Capsule) } Pack [Taysofy 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2566610",
    "drug_name": "levothyroxine sodium 0.0625 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2566615",
    "drug_name": "levothyroxine sodium 0.0375 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2566619",
    "drug_name": "levothyroxine sodium 0.044 MG/ML Oral Solution [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2567237",
    "drug_name": "belzutifan 40 MG Oral Tablet [Welireg]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569088",
    "drug_name": "cholecalciferol 0.25 MG / folic acid 1 MG Oral Tablet [Folditam]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569281",
    "drug_name": "hydroxychloroquine sulfate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569283",
    "drug_name": "hydroxychloroquine sulfate 300 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569605",
    "drug_name": "lonapegsomatropin-tcgd 11 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569609",
    "drug_name": "lonapegsomatropin-tcgd 13.3 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569613",
    "drug_name": "lonapegsomatropin-tcgd 3 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569617",
    "drug_name": "lonapegsomatropin-tcgd 3.6 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569621",
    "drug_name": "lonapegsomatropin-tcgd 4.3 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569625",
    "drug_name": "lonapegsomatropin-tcgd 5.2 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569629",
    "drug_name": "lonapegsomatropin-tcgd 6.3 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569633",
    "drug_name": "lonapegsomatropin-tcgd 7.6 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2569637",
    "drug_name": "lonapegsomatropin-tcgd 9.1 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2570757",
    "drug_name": "ruxolitinib 15 MG/ML Topical Cream [Opzelura]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2571085",
    "drug_name": "maralixibat 9.5 MG/ML Oral Solution [Livmarli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2571805",
    "drug_name": "1.5 ML somapacitan-beco 3.3 MG/ML Pen Injector [Sogroya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2571842",
    "drug_name": "atogepant 10 MG Oral Tablet [Qulipta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2571846",
    "drug_name": "atogepant 30 MG Oral Tablet [Qulipta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2571850",
    "drug_name": "atogepant 60 MG Oral Tablet [Qulipta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2572111",
    "drug_name": "avacopan 10 MG Oral Capsule [Tavneos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2572292",
    "drug_name": "0.4 ML cyclosporine 0.5 MG/ML Ophthalmic Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2572371",
    "drug_name": "varenicline 0.03 MG/ACTUAT Nasal Spray [Tyrvaya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2584199",
    "drug_name": "sofosbuvir 150 MG / velpatasvir 37.5 MG Oral Pellet [Epclusa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2584201",
    "drug_name": "sofosbuvir 200 MG / velpatasvir 50 MG Oral Pellet [Epclusa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2584326",
    "drug_name": "asciminib 20 MG Oral Tablet [Scemblix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2584330",
    "drug_name": "asciminib 40 MG Oral Tablet [Scemblix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2584356",
    "drug_name": "bictegravir 30 MG / emtricitabine 120 MG / tenofovir alafenamide 15 MG Oral Tablet [Biktarvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2584552",
    "drug_name": "pilocarpine hydrochloride 12.5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2586079",
    "drug_name": "maribavir 200 MG Oral Tablet [Livtencity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2586369",
    "drug_name": "vosoritide 0.4 MG Injection [Voxzogo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2586373",
    "drug_name": "vosoritide 0.56 MG Injection [Voxzogo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2586377",
    "drug_name": "vosoritide 1.2 MG Injection [Voxzogo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2587070",
    "drug_name": "1 ML ropeginterferon alfa-2b-njft 0.5 MG/ML Prefilled Syringe [Besremi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2587806",
    "drug_name": "1.91 ML tezepelumab-ekko 110 MG/ML Prefilled Syringe [Tezspire]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2587815",
    "drug_name": "clindamycin 0.02 MG/MG Vaginal Gel [Xaciato]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2587899",
    "drug_name": "{20 (nirmatrelvir 150 MG Oral Tablet) / 10 (ritonavir 100 MG Oral Tablet) } Pack [Paxlovid 5-Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2588062",
    "drug_name": "rivaroxaban 1 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2588066",
    "drug_name": "rivaroxaban 1 MG/ML Oral Suspension [Xarelto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2588854",
    "drug_name": "levoketoconazole 150 MG Oral Tablet [Recorlev]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2589014",
    "drug_name": "3 ML insulin glargine-aglr 100 UNT/ML Pen Injector [Rezvoglar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2589384",
    "drug_name": "1 ML tralokinumab-ldrm 150 MG/ML Prefilled Syringe [Adbry]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2590054",
    "drug_name": "24 HR upadacitinib 30 MG Extended Release Oral Tablet [Rinvoq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2590643",
    "drug_name": "emtricitabine 120 MG / tenofovir alafenamide 15 MG Oral Tablet [Descovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2591487",
    "drug_name": "abrocitinib 100 MG Oral Tablet [Cibinqo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2591491",
    "drug_name": "abrocitinib 200 MG Oral Tablet [Cibinqo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2591495",
    "drug_name": "abrocitinib 50 MG Oral Tablet [Cibinqo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2591512",
    "drug_name": "talazoparib 0.5 MG Oral Capsule [Talzenna]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2591521",
    "drug_name": "talazoparib 0.75 MG Oral Capsule [Talzenna]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2593376",
    "drug_name": "baclofen 5 MG/ML Oral Suspension",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2593419",
    "drug_name": "2 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594479",
    "drug_name": "mitapivat 20 MG Oral Tablet [Pyrukynd]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594498",
    "drug_name": "mitapivat 5 MG Oral Tablet [Pyrukynd]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594503",
    "drug_name": "mitapivat 50 MG Oral Tablet [Pyrukynd]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594608",
    "drug_name": "siponimod 1 MG Oral Tablet [Mayzent]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594742",
    "drug_name": "{56 (mitapivat 20 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 20 MG 4-Week]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594744",
    "drug_name": "{56 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG 4-Week]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594746",
    "drug_name": "{7 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG Taper]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594748",
    "drug_name": "{7 (mitapivat 20 MG Oral Tablet [Pyrukynd]) / 7 (mitapivat 5 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 5 MG / 20 MG Taper]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594750",
    "drug_name": "{7 (mitapivat 20 MG Oral Tablet [Pyrukynd]) / 7 (mitapivat 50 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 20 MG / 50 MG Taper]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594795",
    "drug_name": "{56 (mitapivat 50 MG Oral Tablet [Pyrukynd]) } Pack [Pyrukynd 50 MG 4-Week]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2594797",
    "drug_name": "{7 (siponimod 0.25 MG Oral Tablet [Mayzent]) } Pack [Mayzent 1 MG Starter Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2595254",
    "drug_name": "pacritinib 100 MG Oral Capsule [Vonjo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2596445",
    "drug_name": "0.4 ML mepolizumab 100 MG/ML Prefilled Syringe [Nucala]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2596869",
    "drug_name": "sirolimus 0.002 MG/MG Topical Gel [Hyftor]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2596960",
    "drug_name": "24 HR upadacitinib 45 MG Extended Release Oral Tablet [Rinvoq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2598352",
    "drug_name": "abacavir 60 MG / dolutegravir 5 MG / lamivudine 30 MG Tablet for Oral Suspension [Triumeq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2598459",
    "drug_name": "alpelisib 50 MG Oral Tablet [Vijoice]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2598463",
    "drug_name": "alpelisib 125 MG Oral Tablet [Vijoice]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2598465",
    "drug_name": "{28 (alpelisib 125 MG Oral Tablet [Vijoice]) } Pack [Vijoice 125 MG 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2598467",
    "drug_name": "{28 (alpelisib 50 MG Oral Tablet [Vijoice]) } Pack [Vijoice 50 MG 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2598470",
    "drug_name": "{28 (alpelisib 200 MG Oral Tablet [Vijoice]) / 28 (alpelisib 50 MG Oral Tablet [Vijoice]) } Pack [Vijoice 250 MG 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2599365",
    "drug_name": "3 ML semaglutide 2.68 MG/ML Pen Injector [Ozempic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2599543",
    "drug_name": "{10 (nirmatrelvir 150 MG Oral Tablet) / 10 (ritonavir 100 MG Oral Tablet) } Pack [Paxlovid 150 MG /100 MG Dose Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2600878",
    "drug_name": "mavacamten 10 MG Oral Capsule [Camzyos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2600882",
    "drug_name": "mavacamten 15 MG Oral Capsule [Camzyos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2600886",
    "drug_name": "mavacamten 2.5 MG Oral Capsule [Camzyos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2600890",
    "drug_name": "mavacamten 5 MG Oral Capsule [Camzyos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601725",
    "drug_name": "baricitinib 4 MG Oral Tablet [Olumiant]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601746",
    "drug_name": "0.5 ML tirzepatide 10 MG/ML Auto-Injector [Mounjaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601758",
    "drug_name": "0.5 ML tirzepatide 30 MG/ML Auto-Injector [Mounjaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601764",
    "drug_name": "0.5 ML tirzepatide 5 MG/ML Auto-Injector [Mounjaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601770",
    "drug_name": "0.5 ML tirzepatide 20 MG/ML Auto-Injector [Mounjaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601776",
    "drug_name": "0.5 ML tirzepatide 25 MG/ML Auto-Injector [Mounjaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2601785",
    "drug_name": "0.5 ML tirzepatide 15 MG/ML Auto-Injector [Mounjaro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602122",
    "drug_name": "edaravone 21 MG/ML Oral Suspension [Radicava]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602306",
    "drug_name": "tapinarof 10 MG/ML Topical Cream [Vtama]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602754",
    "drug_name": "treprostinil 0.016 MG Inhalation Powder [Tyvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602758",
    "drug_name": "treprostinil 0.032 MG Inhalation Powder [Tyvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602762",
    "drug_name": "treprostinil 0.048 MG Inhalation Powder [Tyvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602766",
    "drug_name": "treprostinil 0.064 MG Inhalation Powder [Tyvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2602770",
    "drug_name": "{112 (treprostinil 0.016 MG Inhalation Powder [Tyvaso]) / 112 (treprostinil 0.032 MG Inhalation Powder [Tyvaso]) / 28 (treprostinil 0.048 MG Inhalation Powder [Tyvaso]) } Pack [Tyvaso 16-32-48 MCG Tit",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2603740",
    "drug_name": "molnupiravir 200 MG Oral Capsule [Lagevrio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2604628",
    "drug_name": "2.4 ML risankizumab-rzaa 150 MG/ML Cartridge [Skyrizi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2604700",
    "drug_name": "ganaxolone 50 MG/ML Oral Suspension [Ztalmy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2604802",
    "drug_name": "{84 (amoxicillin 500 MG Oral Capsule) / 28 (vonoprazan 20 MG Oral Tablet) } Pack [Voquezna 14 Day DualPak 20;500]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2604804",
    "drug_name": "{56 (amoxicillin 500 MG Oral Capsule) / 28 (clarithromycin 500 MG Oral Tablet) / 28 (vonoprazan 20 MG Oral Tablet) } Pack [Voquezna 14 Day TriplePak 20;500;500]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2606490",
    "drug_name": "pirfenidone 534 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2606491",
    "drug_name": "{63 (pirfenidone 267 MG Oral Capsule) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2607737",
    "drug_name": "acalabrutinib 100 MG Oral Tablet [Calquence]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2608539",
    "drug_name": "roflumilast 3 MG/ML Topical Cream [Zoryve]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2608695",
    "drug_name": "{24 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Chewable Tablet) / 4 (ferrous fumarate 75 MG Oral Tablet) } Pack [Finzala 24 Fe Chewable 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2611460",
    "drug_name": "ivacaftor 94 MG / lumacaftor 75 MG Oral Granules [ORKAMBI]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2611540",
    "drug_name": "ibrutinib 70 MG/ML Oral Suspension [Imbruvica]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2612098",
    "drug_name": "deucravacitinib 6 MG Oral Tablet [Sotyktu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2613759",
    "drug_name": "1.2 ML risankizumab-rzaa 150 MG/ML Cartridge [Skyrizi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2618842",
    "drug_name": "4 ML dalteparin sodium 2500 UNT/ML Injection [Fragmin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2619154",
    "drug_name": "0.25 MG, 0.5 MG Dose 3 ML semaglutide 0.68 MG/ML Pen Injector [Ozempic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2619677",
    "drug_name": "250 MG estradiol 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2619679",
    "drug_name": "500 MG estradiol 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2619681",
    "drug_name": "750 MG estradiol 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2619683",
    "drug_name": "1000 MG estradiol 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2619685",
    "drug_name": "1250 MG estradiol 0.001 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2621717",
    "drug_name": "clindamycin 10 MG/ML Topical Foam [Clindacin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2623472",
    "drug_name": "isavuconazonium sulfate 74.5 MG Oral Capsule [Cresemba]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2623654",
    "drug_name": "olutasidenib 150 MG Oral Capsule [Rezlidhia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2625896",
    "drug_name": "lenacapavir 300 MG Oral Tablet [Sunlenca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2625898",
    "drug_name": "{4 (lenacapavir 300 MG Oral Tablet [Sunlenca]) } Pack [Sunlenca 4-Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2625900",
    "drug_name": "{5 (lenacapavir 300 MG Oral Tablet [Sunlenca]) } Pack [Sunlenca 5-Tablet Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2625923",
    "drug_name": "adagrasib 200 MG Oral Tablet [Krazati]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2626366",
    "drug_name": "citric acid 68.6 MG/ML / magnesium oxide 20 MG/ML / picosulfate sodium 0.0571 MG/ML Oral Solution [Clenpiq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2626399",
    "drug_name": "pexidartinib 125 MG Oral Capsule [Turalio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2626828",
    "drug_name": "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Emzahh 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2627781",
    "drug_name": "metaxalone 640 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628201",
    "drug_name": "futibatinib 4 MG Oral Tablet [Lytgobi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628204",
    "drug_name": "{21 (futibatinib 4 MG Oral Tablet [Lytgobi]) } Pack [Lytgobi 12 MG Daily Dose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628206",
    "drug_name": "{28 (futibatinib 4 MG Oral Tablet [Lytgobi]) } Pack [Lytgobi 16 MG Daily Dose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628208",
    "drug_name": "{35 (futibatinib 4 MG Oral Tablet [Lytgobi]) } Pack [Lytgobi 20 MG Daily Dose]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628242",
    "drug_name": "sotorasib 320 MG Oral Tablet [Lumakras]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628484",
    "drug_name": "elacestrant 86 MG Oral Tablet [Orserdu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628489",
    "drug_name": "elacestrant 345 MG Oral Tablet [Orserdu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2628923",
    "drug_name": "1.91 ML tezepelumab-ekko 110 MG/ML Auto-Injector [Tezspire]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2629349",
    "drug_name": "pirtobrutinib 100 MG Oral Tablet [Jaypirca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2629353",
    "drug_name": "pirtobrutinib 50 MG Oral Tablet [Jaypirca]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2629981",
    "drug_name": "1 ML lanadelumab-flyo 150 MG/ML Prefilled Syringe [Takhzyro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630147",
    "drug_name": "24 HR deutetrabenazine 12 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630153",
    "drug_name": "24 HR deutetrabenazine 24 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630157",
    "drug_name": "24 HR deutetrabenazine 6 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630217",
    "drug_name": "apalutamide 240 MG Oral Tablet [Erleada]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630546",
    "drug_name": "sparsentan 200 MG Oral Tablet [Filspari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630550",
    "drug_name": "sparsentan 400 MG Oral Tablet [Filspari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630667",
    "drug_name": "{126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 1 Titration Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630669",
    "drug_name": "{126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 210 (12 HR treprostinil 0.25 MG Extended Release Oral Tablet [Orenitram]) } Pack [Orenitram Month 2 Titration Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630671",
    "drug_name": "{126 (12 HR treprostinil 0.125 MG Extended Release Oral Tablet [Orenitram]) / 42 (12 HR treprostinil0.25 MG Extended Release Oral Tablet [Orenitram]) / 84 (12 HR treprostinil 1 MG Extended Release Or",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630740",
    "drug_name": "levothyroxine sodium 0.0375 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630744",
    "drug_name": "levothyroxine sodium 0.044 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2630748",
    "drug_name": "levothyroxine sodium 0.0625 MG Oral Capsule [Tirosint]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2631942",
    "drug_name": "omaveloxolone 50 MG Oral Capsule [Skyclarys]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2632556",
    "drug_name": "dabrafenib 10 MG Tablet for Oral Suspension [Tafinlar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2632564",
    "drug_name": "trametinib 0.05 MG/ML Oral Solution [Mekinist]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2632846",
    "drug_name": "estradiol 0.5 MG / progesterone 100 MG Oral Capsule [Bijuva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2632863",
    "drug_name": "trofinetide 200 MG/ML Oral Solution [Daybue]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2633021",
    "drug_name": "leniolisib 70 MG Oral Tablet [Joenja]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2634743",
    "drug_name": "Once-Daily gabapentin 900 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2634747",
    "drug_name": "Once-Daily gabapentin 450 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2634751",
    "drug_name": "Once-Daily gabapentin 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2635022",
    "drug_name": "{28 (elexacaftor 80 MG / ivacaftor 60 MG / tezacaftor 40 MG Oral Granules) / 28 (ivacaftor 59.5 MG Oral Granules) } Pack [Trikafta (80 MG / 40 MG / 60 MG; 59.5 MG) Granules]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2635026",
    "drug_name": "{28 (elexacaftor 100 MG / ivacaftor 75 MG / tezacaftor 50 MG Oral Granules) / 28 (ivacaftor 75 MG Oral Granules) } Pack [Trikafta (100 MG / 50 MG / 75 MG; 75 MG) Granules]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636548",
    "drug_name": "fecal microbiota spores, live-brpk 30000000 UNT Oral Capsule [Vowst]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636599",
    "drug_name": "0.5 ML respiratory syncytial virus pre-fusion F protein, recombinant 0.24 MG/ML Injection [Arexvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636789",
    "drug_name": "ivacaftor 13.4 MG Oral Granules [Kalydeco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636793",
    "drug_name": "ivacaftor 5.8 MG Oral Granules [Kalydeco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636828",
    "drug_name": "sodium oxybate 4500 MG Granules for Oral Suspension [Lumryz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636832",
    "drug_name": "sodium oxybate 6000 MG Granules for Oral Suspension [Lumryz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636836",
    "drug_name": "sodium oxybate 7500 MG Granules for Oral Suspension [Lumryz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636840",
    "drug_name": "sodium oxybate 9000 MG Granules for Oral Suspension [Lumryz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2636954",
    "drug_name": "1.5 ML somapacitan-beco 10 MG/ML Pen Injector [Sogroya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2637348",
    "drug_name": "2 ML secukinumab 150 MG/ML Auto-Injector [Cosentyx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2637556",
    "drug_name": "perfluorohexyloctane 1340 MG/ML Ophthalmic Solution [Miebo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2639727",
    "drug_name": "nalmefene 27 MG/ML Nasal Spray [Opvee]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2639957",
    "drug_name": "5.6 ML efgartigimod alfa-qvfc 180 MG/ML / hyaluronidase-qvfc 2000 UNT/ML Injection [Vyvgart Hytrulo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2639962",
    "drug_name": "talazoparib 0.1 MG Oral Capsule [Talzenna]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2639966",
    "drug_name": "talazoparib 0.35 MG Oral Capsule [Talzenna]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2640210",
    "drug_name": "niraparib 100 MG Oral Tablet [Zejula]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2640212",
    "drug_name": "niraparib 200 MG Oral Tablet [Zejula]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2640214",
    "drug_name": "niraparib 300 MG Oral Tablet [Zejula]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2640851",
    "drug_name": "0.8 ML adalimumab-aacf 50 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2640864",
    "drug_name": "{4 (0.8 ML adalimumab-aacf 50 MG/ML Auto-Injector) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2640869",
    "drug_name": "{6 (0.8 ML adalimumab-aacf 50 MG/ML Auto-Injector) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2641144",
    "drug_name": "{2 (magnesium sulfate 900 MG / polyethylene glycol 3350 179000 MG / potassium chloride 1120 MG / sodium chloride 500 MG / sodium sulfate 7300 MG Powder for Oral Solution) } Pack [Suflave]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2641607",
    "drug_name": "ritlecitinib 50 MG Oral Capsule [Litfulo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2641919",
    "drug_name": "{14 (perampanel 2 MG Oral Tablet [FYCOMPA]) } Pack [Fycompa 2 MG 2-Week Sample Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642148",
    "drug_name": "0.5 ML respiratory syncytial virus pre-fusion F protein, A, recombinant, stabilized 0.12 MG/ML / respiratory syncytial virus pre-fusion F protein, B, recombinant, stabilized 0.12 MG/ML Injection [Abry",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642214",
    "drug_name": "{4 (ozanimod 0.23 MG Oral Capsule [Zeposia]) / 3 (ozanimod 0.46 MG Oral Capsule [Zeposia]) / 21 (ozanimod 0.92 MG Oral Capsule [Zeposia]) } Pack [Zeposia 28-Day Starter Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642350",
    "drug_name": "miglustat 100 MG Oral Capsule [Yargesa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642809",
    "drug_name": "1.6 ML insulin aspart, human 100 UNT/ML Cartridge [Fiasp]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642816",
    "drug_name": "thyroid (USP) 120 MG Oral Tablet [Niva Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642818",
    "drug_name": "thyroid (USP) 15 MG Oral Tablet [Niva Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642824",
    "drug_name": "thyroid (USP) 30 MG Oral Tablet [Niva Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642828",
    "drug_name": "thyroid (USP) 60 MG Oral Tablet [Niva Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2642830",
    "drug_name": "thyroid (USP) 90 MG Oral Tablet [Niva Thyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2643060",
    "drug_name": "quizartinib 17.7 MG Oral Tablet [Vanflyta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2643064",
    "drug_name": "quizartinib 26.5 MG Oral Tablet [Vanflyta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2644512",
    "drug_name": "lotilaner 2.5 MG/ML Ophthalmic Solution [Xdemvy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2644523",
    "drug_name": "1.2 ML somatrogon-ghla 20 MG/ML Pen Injector [Ngenla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2644529",
    "drug_name": "1.2 ML somatrogon-ghla 50 MG/ML Pen Injector [Ngenla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2644707",
    "drug_name": "21 DAY ethinyl estradiol 0.000625 MG/HR / etonogestrel 0.005 MG/HR Vaginal System [Enilloring]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2645083",
    "drug_name": "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (inert ingredients 1 MG OralTablet) } Pack [Joyeaux 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2645250",
    "drug_name": "abiraterone acetate 500 MG / niraparib 50 MG Oral Tablet [Akeega]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2645253",
    "drug_name": "abiraterone acetate 500 MG / niraparib 100 MG Oral Tablet [Akeega]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663918",
    "drug_name": "2 ML omalizumab 150 MG/ML Prefilled Syringe [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663923",
    "drug_name": "2 ML omalizumab 150 MG/ML Auto-Injector [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663966",
    "drug_name": "palovarotene 1 MG Oral Capsule [Sohonos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663970",
    "drug_name": "palovarotene 1.5 MG Oral Capsule [Sohonos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663974",
    "drug_name": "palovarotene 10 MG Oral Capsule [Sohonos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663978",
    "drug_name": "palovarotene 2.5 MG Oral Capsule [Sohonos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663982",
    "drug_name": "palovarotene 5 MG Oral Capsule [Sohonos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2663988",
    "drug_name": "colchicine 0.5 MG Oral Tablet [Lodoco]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2664817",
    "drug_name": "0.5 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-1273 OMICRON (XBB.1.5) 0.1 MG/ML Prefilled Syringe [Spikevax 2023-2024]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2664841",
    "drug_name": "0.3 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-BNT162b2 OMICRON (XBB.1.5) 0.1 MG/ML Prefilled Syringe [Comirnaty 2023-2024]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665161",
    "drug_name": "BX Rating tacrolimus 0.5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665162",
    "drug_name": "BX Rating tacrolimus 1 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665163",
    "drug_name": "BX Rating tacrolimus 5 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665216",
    "drug_name": "momelotinib 100 MG Oral Tablet [Ojjaara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665220",
    "drug_name": "momelotinib 150 MG Oral Tablet [Ojjaara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665224",
    "drug_name": "momelotinib 200 MG Oral Tablet [Ojjaara]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665617",
    "drug_name": "triamcinolone acetonide 0.001 MG/MG Oral Paste [Kourzeq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2665912",
    "drug_name": "120 ACTUAT albuterol 0.09 MG/ACTUAT / budesonide 0.08 MG/ACTUAT Metered Dose Inhaler [Airsupra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2667342",
    "drug_name": "0.68 ML vedolizumab 159 MG/ML Auto-Injector [Entyvio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2667432",
    "drug_name": "miglustat 65 MG Oral Capsule [Opfolda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2667648",
    "drug_name": "metronidazole 100 MG/ML Oral Suspension [Likmez]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2667941",
    "drug_name": "baclofen 2 MG/ML Oral Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668057",
    "drug_name": "etrasimod 2 MG Oral Tablet [Velsipity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668071",
    "drug_name": "0.8 ML adalimumab-afzb 50 MG/ML Auto-Injector [Abrilada]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668078",
    "drug_name": "0.8 ML adalimumab-afzb 50 MG/ML Prefilled Syringe [Abrilada]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668093",
    "drug_name": "1 ML bimekizumab-bkzx 160 MG/ML Prefilled Syringe [Bimzelx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668096",
    "drug_name": "0.4 ML adalimumab-afzb 50 MG/ML Prefilled Syringe [Abrilada]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668103",
    "drug_name": "1 ML bimekizumab-bkzx 160 MG/ML Auto-Injector [Bimzelx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2668599",
    "drug_name": "entrectinib 50 MG Oral Pellet [Rozlytrek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2669472",
    "drug_name": "amylase 252600 UNT / lipase 60000 UNT / protease 189600 UNT Delayed Release Oral Capsule [Zenpep]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2669810",
    "drug_name": "vamorolone 40 MG/ML Oral Suspension [Agamree]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2669916",
    "drug_name": "zuranolone 20 MG Oral Capsule [Zurzuvae]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2669920",
    "drug_name": "zuranolone 25 MG Oral Capsule [Zurzuvae]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2669924",
    "drug_name": "zuranolone 30 MG Oral Capsule [Zurzuvae]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2669982",
    "drug_name": "capivasertib 200 MG Oral Tablet [Truqap]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670170",
    "drug_name": "crizotinib 150 MG Oral Pellet [Xalkori]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670174",
    "drug_name": "crizotinib 20 MG Oral Pellet [Xalkori]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670178",
    "drug_name": "crizotinib 50 MG Oral Pellet [Xalkori]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670190",
    "drug_name": "fruquintinib 1 MG Oral Capsule [Fruzaqla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670198",
    "drug_name": "fruquintinib 5 MG Oral Capsule [Fruzaqla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670390",
    "drug_name": "tramadol hydrochloride 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2670655",
    "drug_name": "repotrectinib 40 MG Oral Capsule [Augtyro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2671080",
    "drug_name": "iptacopan 200 MG Oral Capsule [Fabhalta]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2671462",
    "drug_name": "methotrexate 2 MG/ML Oral Solution [Jylamvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2671684",
    "drug_name": "roflumilast 3 MG/ML Topical Foam [Zoryve]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2671950",
    "drug_name": "0.8 ML eplontersen 56.3 MG/ML Auto-Injector [Wainua]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2672326",
    "drug_name": "bosutinib 100 MG Oral Capsule [Bosulif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2672328",
    "drug_name": "bosutinib 50 MG Oral Capsule [Bosulif]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2672502",
    "drug_name": "0.416 ML zilucoplan 40 MG/ML Prefilled Syringe [Zilbrysq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2672505",
    "drug_name": "0.574 ML zilucoplan 40 MG/ML Prefilled Syringe [Zilbrysq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2672507",
    "drug_name": "0.81 ML zilucoplan 40 MG/ML Prefilled Syringe [Zilbrysq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2672923",
    "drug_name": "{21 (ethinyl estradiol 0.02 MG / levonorgestrel 0.1 MG Oral Tablet) / 7 (ferrous bisglycinate 36.5 MG Oral Tablet) } Pack",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2673205",
    "drug_name": "eflornithine 192 MG Oral Tablet [Iwilfin]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2673761",
    "drug_name": "1 ML omalizumab 150 MG/ML Auto-Injector [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2673763",
    "drug_name": "0.5 ML omalizumab 150 MG/ML Auto-Injector [Xolair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2674932",
    "drug_name": "0.25 ML ixekizumab 80 MG/ML Prefilled Syringe [Taltz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2674934",
    "drug_name": "0.5 ML ixekizumab 80 MG/ML Prefilled Syringe [Taltz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675193",
    "drug_name": "eltrombopag 18 MG Oral Tablet [Alvaiz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675197",
    "drug_name": "eltrombopag 36 MG Oral Tablet [Alvaiz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675201",
    "drug_name": "eltrombopag 54 MG Oral Tablet [Alvaiz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675205",
    "drug_name": "eltrombopag 9 MG Oral Tablet [Alvaiz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675286",
    "drug_name": "budesonide 0.2 MG/ML Oral Suspension [Eohilia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675309",
    "drug_name": "0.5 ML nedosiran 160 MG/ML Injection [Rivfloza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675315",
    "drug_name": "0.8 ML nedosiran 160 MG/ML Prefilled Syringe [Rivfloza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675318",
    "drug_name": "1 ML nedosiran 160 MG/ML Prefilled Syringe [Rivfloza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675592",
    "drug_name": "birch triterpenes 0.1 MG/MG Topical Gel [Filsuvez]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675749",
    "drug_name": "1 ML infliximab-dyyb 120 MG/ML Pen Injector [Zymfentra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2675757",
    "drug_name": "1 ML infliximab-dyyb 120 MG/ML Prefilled Syringe [Zymfentra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2676107",
    "drug_name": "{28 (norgestrel 0.075 MG Oral Tablet) } Pack [Opill 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2676585",
    "drug_name": "Twice-Daily clindamycin 0.01 MG/MG Topical Gel",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2677787",
    "drug_name": "0.4 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2677905",
    "drug_name": "resmetirom 100 MG Oral Tablet [Rezdiffra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2677909",
    "drug_name": "resmetirom 60 MG Oral Tablet [Rezdiffra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2677913",
    "drug_name": "resmetirom 80 MG Oral Tablet [Rezdiffra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678248",
    "drug_name": "rilpivirine 2.5 MG Tablet for Oral Suspension [Edurant]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678392",
    "drug_name": "28 ACTUAT albuterol 0.09 MG/ACTUAT / budesonide 0.08 MG/ACTUAT Metered Dose Inhaler [Airsupra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678900",
    "drug_name": "givinostat 8.86 MG/ML Oral Suspension [Duvyzat]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678943",
    "drug_name": "sotatercept-csrk 45 MG Injection [Winrevair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678947",
    "drug_name": "sotatercept-csrk 60 MG Injection [Winrevair]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678949",
    "drug_name": "{2 (sotatercept-csrk 45 MG Injection [Winrevair]) } Pack [Winrevair 45 MG, 2 Vial Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678951",
    "drug_name": "{2 (sotatercept-csrk 60 MG Injection [Winrevair]) } Pack [Winrevair 60 MG, 2 Vial Kit]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678967",
    "drug_name": "danicopan 100 MG Oral Tablet [Voydeya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678971",
    "drug_name": "{168 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Card]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678973",
    "drug_name": "{180 (danicopan 100 MG Oral Tablet [Voydeya]) } Pack [Voydeya 200 MG Dose Bottle]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678975",
    "drug_name": "{90 (danicopan 100 MG Oral Tablet [Voydeya]) / 90 (danicopan 50 MG Oral Tablet [Voydeya]) } Pack [Voydeya 150 MG Dose Bottle]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2678984",
    "drug_name": "1 ML spesolimab-sbzo 150 MG/ML Prefilled Syringe [Spevigo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679070",
    "drug_name": "aprocitentan 12.5 MG Oral Tablet [Tryvio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679307",
    "drug_name": "vadadustat 150 MG Oral Tablet [Vafseo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679311",
    "drug_name": "vadadustat 300 MG Oral Tablet [Vafseo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679502",
    "drug_name": "0.5 ML benralizumab 20 MG/ML Prefilled Syringe [Fasenra]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679504",
    "drug_name": "1 ML naloxone hydrochloride 0.4 MG/ML Prefilled Syringe",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679605",
    "drug_name": "baclofen 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679797",
    "drug_name": "sacubitril 15 MG / valsartan 16 MG Oral Pellet [Entresto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679802",
    "drug_name": "sacubitril 6 MG / valsartan 6 MG Oral Pellet [Entresto]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679808",
    "drug_name": "selpercatinib 120 MG Oral Tablet [Retevmo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679812",
    "drug_name": "selpercatinib 160 MG Oral Tablet [Retevmo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679814",
    "drug_name": "selpercatinib 40 MG Oral Tablet [Retevmo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2679816",
    "drug_name": "selpercatinib 80 MG Oral Tablet [Retevmo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680138",
    "drug_name": "alpelisib 50 MG Oral Granules [Vijoice]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680140",
    "drug_name": "{28 (alpelisib 50 MG Oral Granules [Vijoice]) } Pack [Vijoice 50 MG Granules 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680280",
    "drug_name": "asciminib 100 MG Oral Tablet [Scemblix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680362",
    "drug_name": "nirogacestat 100 MG Oral Tablet [Ogsiveo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680364",
    "drug_name": "{14 (nirogacestat 100 MG Oral Tablet [Ogsiveo]) } Pack [Ogsiveo 100 MG 7-Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680368",
    "drug_name": "nirogacestat 150 MG Oral Tablet [Ogsiveo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680370",
    "drug_name": "{14 (nirogacestat 150 MG Oral Tablet [Ogsiveo]) } Pack [Ogsiveo 150 MG 7-Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680780",
    "drug_name": "Sprinkle valbenazine 40 MG Oral Capsule [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680782",
    "drug_name": "Sprinkle valbenazine 60 MG Oral Capsule [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2680784",
    "drug_name": "Sprinkle valbenazine 80 MG Oral Capsule [Ingrezza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2681019",
    "drug_name": "upadacitinib 1 MG/ML Oral Solution [Rinvoq]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2682445",
    "drug_name": "tovorafenib 300 MG Powder for Oral Suspension [Ojemda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2682454",
    "drug_name": "tovorafenib 100 MG Oral Tablet [Ojemda]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2683285",
    "drug_name": "24 HR deutetrabenazine 30 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2683291",
    "drug_name": "24 HR deutetrabenazine 36 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2683297",
    "drug_name": "24 HR deutetrabenazine 42 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2683303",
    "drug_name": "24 HR deutetrabenazine 48 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2684032",
    "drug_name": "mavorixafor 100 MG Oral Capsule [Xolremdi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2684952",
    "drug_name": "elafibranor 80 MG Oral Tablet [Iqirvo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685012",
    "drug_name": "0.5 ML respiratory syncytial virus pre-fusion F glycoprotein mRNA 0.1 MG/ML Prefilled Syringe [Mresvia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685015",
    "drug_name": "Twice-Daily deferiprone 1000 MG Oral Tablet [Ferriprox]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685202",
    "drug_name": "everolimus 2.5 MG Oral Tablet [Torpenz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685204",
    "drug_name": "everolimus 10 MG Oral Tablet [Torpenz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685206",
    "drug_name": "everolimus 5 MG Oral Tablet [Torpenz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685208",
    "drug_name": "everolimus 7.5 MG Oral Tablet [Torpenz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2685489",
    "drug_name": "ondansetron 16 MG Disintegrating Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2686050",
    "drug_name": "0.9 ML tocilizumab-aazg 180 MG/ML Auto-Injector [Tyenne]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2686057",
    "drug_name": "0.9 ML tocilizumab-aazg 180 MG/ML Prefilled Syringe [Tyenne]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2686065",
    "drug_name": "2 ML tralokinumab-ldrm 150 MG/ML Auto-Injector [Adbry]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2686156",
    "drug_name": "24 HR deutetrabenazine 18 MG Extended Release Oral Tablet [Austedo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2686613",
    "drug_name": "{7 (24 HR deutetrabenazine 12 MG Extended Release Oral Tablet [Austedo]) / 7 (24 HR deutetrabenazine18 MG Extended Release Oral Tablet [Austedo]) / 7 (24 HR deutetrabenazine 24 MG Extended Release Or",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2686978",
    "drug_name": "0.5 ML Streptococcus pneumoniae serotype 10A capsular antigen diphtheria CRM197 protein conjugate vaccine 0.008 MG/ML / Streptococcus pneumoniae serotype 11A capsular antigen diphtheria CRM197 protein",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2687712",
    "drug_name": "roflumilast 1.5 MG/ML Topical Cream [Zoryve]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2687742",
    "drug_name": "0.5 ML influenza A virus A/Massachusetts/18/2022 (H3N2) antigen 0.09 MG/ML / influenza A virus A/West Virginia/30/2022 (H1N1) antigen 0.09 MG/ML / influenza B virus B/Austria/1359417/2021 antigen 0.09",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2688136",
    "drug_name": "influenza A virus A/Georgia/12/2022 (H1N1) antigen 0.03 MG/ML / influenza A virus A/Sydney/1304/2022(H3N2) antigen 0.03 MG/ML / influenza B virus B/Singapore/WUH4618/2021 antigen 0.03 MG/ML Injectabl",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2688823",
    "drug_name": "0.2 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2688827",
    "drug_name": "0.4 ML adalimumab-ryvk 100 MG/ML Prefilled Syringe [Simlandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690659",
    "drug_name": "vorasidenib 10 MG Oral Tablet [Voranigo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690663",
    "drug_name": "vorasidenib 40 MG Oral Tablet [Voranigo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690858",
    "drug_name": "{16 (tovorafenib 100 MG Oral Tablet [Ojemda]) } Pack [Ojemda 400 MG Once Weekly Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690860",
    "drug_name": "{20 (tovorafenib 100 MG Oral Tablet [Ojemda]) } Pack [Ojemda 500 MG Once Weekly Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690862",
    "drug_name": "{24 (tovorafenib 100 MG Oral Tablet [Ojemda]) } Pack [Ojemda 600 MG Once Weekly Carton]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690881",
    "drug_name": "seladelpar 10 MG Oral Capsule [Livdelzi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2690992",
    "drug_name": "maralixibat 19 MG/ML Oral Solution [Livmarli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2691162",
    "drug_name": "lazertinib 80 MG Oral Tablet [Lazcluze]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2691166",
    "drug_name": "lazertinib 240 MG Oral Tablet [Lazcluze]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2691181",
    "drug_name": "0.5 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-1273 OMICRON (KP.2) 0.1 MG/ML Prefilled Syringe [Spikevax2024-2025]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2691212",
    "drug_name": "0.3 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-BNT162b2 OMICRON (KP.2) 0.1 MG/ML Prefilled Syringe [Comirnaty 2024-2025]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2691328",
    "drug_name": "nemolizumab-ilto 30 MG Auto-Injector [Nemluvio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2692052",
    "drug_name": "patiromer 1000 MG Powder for Oral Suspension [Veltassa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693095",
    "drug_name": "2 ML guselkumab 100 MG/ML Auto-Injector [Tremfya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693097",
    "drug_name": "2 ML guselkumab 100 MG/ML Prefilled Syringe [Tremfya]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693253",
    "drug_name": "potassium chloride 15 MEQ Extended Release Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693623",
    "drug_name": "levacetylleucine 1000 MG Granules for Oral Suspension [Aqneursa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693643",
    "drug_name": "0.56 ML teriparatide 0.3 MG/ML Pen Injector [Yorvipath]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693646",
    "drug_name": "0.98 ML teriparatide 0.3 MG/ML Pen Injector [Yorvipath]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693648",
    "drug_name": "1.4 ML teriparatide 0.3 MG/ML Pen Injector [Yorvipath]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693791",
    "drug_name": "2 ML lebrikizumab-lbkz 125 MG/ML Prefilled Syringe [Ebglyss]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2693907",
    "drug_name": "2 ML lebrikizumab-lbkz 125 MG/ML Pen Injector [Ebglyss]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2694017",
    "drug_name": "0.5 ML influenza A virus A/turkey/Turkey/1/2005 (H5N1) antigen 0.015 MG/ML Prefilled Syringe [Audenz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2694023",
    "drug_name": "influenza A virus A/turkey/Turkey/1/2005 (H5N1) antigen 0.015 MG/ML Injectable Suspension [Audenz]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2694294",
    "drug_name": "arimoclomol 124 MG Oral Capsule [Miplyffa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2694298",
    "drug_name": "arimoclomol 47 MG Oral Capsule [Miplyffa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2694302",
    "drug_name": "arimoclomol 62 MG Oral Capsule [Miplyffa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2694306",
    "drug_name": "arimoclomol 93 MG Oral Capsule [Miplyffa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2695433",
    "drug_name": "inavolisib 3 MG Oral Tablet [Itovebi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2695437",
    "drug_name": "inavolisib 9 MG Oral Tablet [Itovebi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2696255",
    "drug_name": "norethindrone acetate 5 MG Oral Tablet [Gallifrey]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2696878",
    "drug_name": "repotrectinib 160 MG Oral Capsule [Augtyro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2697146",
    "drug_name": "1 ML marstacimab-hncq 150 MG/ML Auto-Injector [Hympavzi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2697739",
    "drug_name": "treprostinil 0.08 MG Inhalation Powder [Tyvaso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698136",
    "drug_name": "{7 (sodium oxybate 4500 MG Granules for Oral Suspension [Lumryz]) / 14 (sodium oxybate 6000 MG Granules for Oral Suspension [Lumryz]) / 7 (sodium oxybate 7500 MG Granules for Oral Suspension [Lumryz])",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698324",
    "drug_name": "acoramidis 356 MG Oral Tablet [Attruby]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698337",
    "drug_name": "revumenib 110 MG Oral Tablet [Revuforj]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698341",
    "drug_name": "revumenib 160 MG Oral Tablet [Revuforj]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698345",
    "drug_name": "revumenib 25 MG Oral Tablet [Revuforj]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698570",
    "drug_name": "nilotinib 71 MG Oral Tablet [Danziten]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2698574",
    "drug_name": "nilotinib 95 MG Oral Tablet [Danziten]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2699122",
    "drug_name": "2 ML bimekizumab-bkzx 160 MG/ML Auto-Injector [Bimzelx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2699124",
    "drug_name": "2 ML bimekizumab-bkzx 160 MG/ML Prefilled Syringe [Bimzelx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2699837",
    "drug_name": "imatinib 80 MG/ML Oral Solution [Imkeldi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2700386",
    "drug_name": "citric acid 0.01 MG/MG / lactic acid 0.018 MG/MG / potassium bitartrate 0.004 MG/MG Vaginal Gel [Phexx]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701397",
    "drug_name": "crinecerfont 100 MG Oral Capsule [Crenessity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701401",
    "drug_name": "crinecerfont 25 MG Oral Capsule [Crenessity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701405",
    "drug_name": "crinecerfont 50 MG Oral Capsule [Crenessity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701413",
    "drug_name": "crinecerfont 50 MG/ML Oral Solution [Crenessity]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701428",
    "drug_name": "0.8 ML olezarsen 100 MG/ML Auto-Injector [Tryngolza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701444",
    "drug_name": "deutivacaftor 125 MG / tezacaftor 50 MG / vanzacaftor 10 MG Oral Tablet [Alyftrek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2701450",
    "drug_name": "deutivacaftor 50 MG / tezacaftor 20 MG / vanzacaftor 4 MG Oral Tablet [Alyftrek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2702348",
    "drug_name": "metronidazole 125 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2702393",
    "drug_name": "timolol hemihydrate 5 MG/ML Ophthalmic Solution",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2702601",
    "drug_name": "abiraterone acetate 250 MG Oral Tablet [Abirtega]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2702613",
    "drug_name": "1 ML ustekinumab-aauz 90 MG/ML Prefilled Syringe [Otulfi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2702616",
    "drug_name": "0.5 ML ustekinumab-aauz 90 MG/ML Prefilled Syringe [Otulfi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2703048",
    "drug_name": "2 ML mirikizumab-mrkz 100 MG/ML Prefilled Syringe [Omvoh]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2703050",
    "drug_name": "2 ML mirikizumab-mrkz 100 MG/ML Auto-Injector [Omvoh]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2703582",
    "drug_name": "metformin hydrochloride 750 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2704560",
    "drug_name": "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Orquidea 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2704561",
    "drug_name": "{21 (ethinyl estradiol 0.035 MG / ethynodiol diacetate 1 MG Oral Tablet) / 7 (inert ingredients 1 MGOral Tablet) } Pack [Valtya 1/35 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2704987",
    "drug_name": "{6 (nirmatrelvir 150 MG Oral Tablet) / 5 (ritonavir 100 MG Oral Tablet) } Pack [Paxlovid 300 MG /100MG ; 150 MG / 100 MG Dose Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705369",
    "drug_name": "risdiplam 5 MG Oral Tablet [Evrysdi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705412",
    "drug_name": "vimseltinib 14 MG Oral Capsule [Romvimza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705416",
    "drug_name": "vimseltinib 20 MG Oral Capsule [Romvimza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705420",
    "drug_name": "vimseltinib 30 MG Oral Capsule [Romvimza]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705432",
    "drug_name": "0.9 ML tocilizumab-anoh 180 MG/ML Prefilled Syringe [Avtozma]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705439",
    "drug_name": "0.9 ML tocilizumab-anoh 180 MG/ML Auto-Injector [Avtozma]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705573",
    "drug_name": "0.5 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe [Pyzchiva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705576",
    "drug_name": "1 ML ustekinumab-ttwe 90 MG/ML Prefilled Syringe [Pyzchiva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705597",
    "drug_name": "0.5 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705600",
    "drug_name": "1 ML ustekinumab-kfce 90 MG/ML Prefilled Syringe [Yesintek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705603",
    "drug_name": "0.5 ML ustekinumab-kfce 90 MG/ML Injection [Yesintek]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705623",
    "drug_name": "mirdametinib 1 MG Oral Capsule [Gomekli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705628",
    "drug_name": "mirdametinib 2 MG Oral Capsule [Gomekli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705635",
    "drug_name": "mirdametinib 1 MG Tablet for Oral Suspension [Gomekli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2705814",
    "drug_name": "{7 (ethinyl estradiol 0.01 MG Oral Tablet) / 42 (ethinyl estradiol 0.02 MG / levonorgestrel 0.15 MGOral Tablet) / 21 (ethinyl estradiol 0.025 MG / levonorgestrel 0.15 MG Oral Tablet) / 21 (ethinyl es",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706317",
    "drug_name": "thyroid (USP) 30 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706321",
    "drug_name": "thyroid (USP) 45 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706323",
    "drug_name": "thyroid (USP) 60 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706327",
    "drug_name": "thyroid (USP) 75 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706329",
    "drug_name": "thyroid (USP) 90 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706331",
    "drug_name": "thyroid (USP) 120 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706333",
    "drug_name": "thyroid (USP) 15 MG Oral Tablet [Renthyroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706645",
    "drug_name": "0.8 ML adalimumab-ryvk 100 MG/ML Auto-Injector [Simlandi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706646",
    "drug_name": "{28 (estradiol 1 MG / norethindrone acetate 0.5 MG Oral Tablet) } Pack [Abigale 1/0.5 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2706647",
    "drug_name": "{28 (estradiol 0.5 MG / norethindrone acetate 0.1 MG Oral Tablet) } Pack [Abigale Lo 0.5/0.1 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2707363",
    "drug_name": "{2 (peanut (Arachis hypogaea) allergen-dnfp 0.5 MG Oral Powder [Palforzia]) / 5 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia Initial Dose Escalation (1 - 3",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2708339",
    "drug_name": "{16 (selinexor 10 MG Oral Tablet [Xpovio]) } Pack [Xpovio 40 MG Once Weekly Carton-10 MG Tablet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2709488",
    "drug_name": "metformin hydrochloride 1000 MG / sitagliptin phosphate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2709491",
    "drug_name": "metformin hydrochloride 500 MG / sitagliptin phosphate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2709603",
    "drug_name": "sitagliptin phosphate 100 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2709608",
    "drug_name": "sitagliptin phosphate 50 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2709612",
    "drug_name": "sitagliptin phosphate 25 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2710422",
    "drug_name": "chenodeoxycholate 250 MG Oral Tablet [Ctexli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2710426",
    "drug_name": "cobicistat 150 MG / darunavir 675 MG Oral Tablet [Prezcobix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2710443",
    "drug_name": "berdazimer 0.103 MG/MG Topical Gel [Zelsuvmi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2710460",
    "drug_name": "atrasentan 0.75 MG Oral Tablet [Vanrafia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2711556",
    "drug_name": "24 HR diazoxide choline 150 MG Extended Release Oral Tablet [Vykat]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2711562",
    "drug_name": "24 HR diazoxide choline 25 MG Extended Release Oral Tablet [Vykat]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2711568",
    "drug_name": "24 HR diazoxide choline 75 MG Extended Release Oral Tablet [Vykat]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2711694",
    "drug_name": "isotretinoin 30 MG Oral Capsule [Amnesteem]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712088",
    "drug_name": "5 ML efgartigimod alfa-qvfc 200 MG/ML / hyaluronidase-qvfc 2000 UNT/ML Prefilled Syringe [Vyvgart Hytrulo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712092",
    "drug_name": "{21 (ethinyl estradiol 0.03 MG / norethindrone acetate 1.5 MG Oral Tablet) } Pack [Luizza 1.5/30 21Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712467",
    "drug_name": "maralixibat 10 MG Oral Tablet [Livmarli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712471",
    "drug_name": "maralixibat 20 MG Oral Tablet [Livmarli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712475",
    "drug_name": "maralixibat 30 MG Oral Tablet [Livmarli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712479",
    "drug_name": "maralixibat 15 MG Oral Tablet [Livmarli]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712640",
    "drug_name": "ensartinib 100 MG Oral Capsule [Ensacove]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712644",
    "drug_name": "ensartinib 25 MG Oral Capsule [Ensacove]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712689",
    "drug_name": "sapropterin dihydrochloride 100 MG Powder for Oral Solution [Zelvysia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2712691",
    "drug_name": "sapropterin dihydrochloride 500 MG Powder for Oral Solution [Zelvysia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2713887",
    "drug_name": "0.5 ML ustekinumab-ttwe 90 MG/ML Injection [Pyzchiva]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2714308",
    "drug_name": "1 ML dihydroergotamine mesylate 1 MG/ML Auto-Injector",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2714657",
    "drug_name": "{21 (ethinyl estradiol 0.02 MG / norethindrone acetate 1 MG Oral Tablet) } Pack [Luizza 1/20 21 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2714922",
    "drug_name": "{24 (avutometinib 0.8 MG Oral Capsule [Avmapki]) / 42 (defactinib 200 MG Oral Tablet [Fakzynja]) } Pack [Avmapki Fakzynja Co-Pack]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2715459",
    "drug_name": "nilotinib d-tartrate 50 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2715469",
    "drug_name": "nilotinib d-tartrate 150 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2715473",
    "drug_name": "nilotinib d-tartrate 200 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716569",
    "drug_name": "deuruxolitinib 8 MG Oral Tablet [Leqselvi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716571",
    "drug_name": "{28 (norethindrone 0.35 MG Oral Tablet) } Pack [Meleya 28 Day]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716697",
    "drug_name": "2 ML spesolimab-sbzo 150 MG/ML Prefilled Syringe [Spevigo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716704",
    "drug_name": "deflazacort 18 MG Oral Tablet [Jaythari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716706",
    "drug_name": "deflazacort 30 MG Oral Tablet [Jaythari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716708",
    "drug_name": "deflazacort 36 MG Oral Tablet [Jaythari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716710",
    "drug_name": "deflazacort 6 MG Oral Tablet [Jaythari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2716931",
    "drug_name": "taletrectinib 200 MG Oral Capsule [Ibtrozi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2717182",
    "drug_name": "1.2 ML garadacimab-gxii 167 MG/ML Auto-Injector [Andembry]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2717197",
    "drug_name": "lenacapavir 300 MG Oral Tablet [Yeztugo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2718374",
    "drug_name": "influenza A virus A/Georgia/12/2022 (H1N1) antigen 0.03 MG/ML / influenza A virus A/Victoria/800/2024 (H3N2) antigen 0.03 MG/ML / influenza B virus B/Singapore/WUH4618/2021 antigen 0.03 MG/ML Injectab",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2719223",
    "drug_name": "zanubrutinib 160 MG Oral Tablet [Brukinsa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2719311",
    "drug_name": "0.5 ML influenza A virus A/District of Columbia/27/2023 (H3N2) antigen 0.09 MG/ML / influenza A virus A/West Virginia/30/2022 (H1N1) antigen 0.09 MG/ML / influenza B virus B/Austria/1359417/2021 antig",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2719335",
    "drug_name": "tolvaptan 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2719337",
    "drug_name": "tolvaptan 30 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2719778",
    "drug_name": "0.5 ML varicella zoster virus glycoprotein E, recombinant 0.1 MG/ML Prefilled Syringe [Shingrix]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2720071",
    "drug_name": "finerenone 40 MG Oral Tablet [Kerendia]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2720355",
    "drug_name": "flurbiprofen 100 MG Oral Tablet [Lurbiro]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721192",
    "drug_name": "avatrombopag 10 MG Oral Granules [Doptelet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721205",
    "drug_name": "dordaviprone 125 MG Oral Capsule [Modeyso]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721615",
    "drug_name": "zongertinib 60 MG Oral Tablet [Hernexeos]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721787",
    "drug_name": "lonapegsomatropin-tcgd 2.5 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721791",
    "drug_name": "lonapegsomatropin-tcgd 2.1 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721795",
    "drug_name": "lonapegsomatropin-tcgd 1.8 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721799",
    "drug_name": "lonapegsomatropin-tcgd 1.4 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721803",
    "drug_name": "lonapegsomatropin-tcgd 0.7 MG Cartridge [Skytrofa]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721891",
    "drug_name": "brensocatib 10 MG Oral Tablet [Brinsupri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2721895",
    "drug_name": "brensocatib 25 MG Oral Tablet [Brinsupri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2722435",
    "drug_name": "0.25 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-1273 OMICRON (LP.8.1) 0.1 MG/ML Prefilled Syringe [Spikevax 2025-2026]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2722438",
    "drug_name": "0.5 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-1273 OMICRON (LP.8.1) 0.1 MG/ML Prefilled Syringe [Spikevax 2025-2026]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2722605",
    "drug_name": "0.3 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-BNT162b2 OMICRON (LP.8.1) 0.1 MG/ML Prefilled Syringe [Comirnaty 2025-2026]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2722614",
    "drug_name": "0.3 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-BNT162b2 OMICRON (LP.8.1) 0.0333 MG/ML Injection [Comirnaty 2025-2026]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2722661",
    "drug_name": "0.2 ML SARS-CoV-2 (COVID-19) vaccine, mRNA-1283 OMICRON (LP.8.1) 0.05 MG/ML Prefilled Syringe [Mnexspike 2025-2026]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "ZERO-DOLLAR-COST-SHARE",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723329",
    "drug_name": "clomiphene citrate 50 MG Oral Tablet [Milophene]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723452",
    "drug_name": "24 HR apremilast 75 MG Extended Release Oral Tablet [Otezla]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723581",
    "drug_name": "liothyronine sodium 0.025 MG Oral Tablet [Liomny]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723583",
    "drug_name": "liothyronine sodium 0.05 MG Oral Tablet [Liomny]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723585",
    "drug_name": "liothyronine sodium 0.005 MG Oral Tablet [Liomny]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723657",
    "drug_name": "selumetinib 5 MG Oral Granules [Koselugo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723661",
    "drug_name": "selumetinib 7.5 MG Oral Granules [Koselugo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2723708",
    "drug_name": "tizanidine 8 MG Oral Capsule",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2724367",
    "drug_name": "{14 (24 HR apremilast 75 MG Extended Release Oral Tablet [Otezla]) / 4 (apremilast 10 MG Oral Tablet[Otezla]) / 4 (apremilast 20 MG Oral Tablet [Otezla]) / 19 (apremilast 30 MG Oral Tablet [Otezla])",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2724370",
    "drug_name": "{2 (1 ML certolizumab pegol 200 MG/ML Prefilled Syringe [Cimzia]) } Pack [Cimzia (2 count)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2724372",
    "drug_name": "{6 (1 ML certolizumab pegol 200 MG/ML Prefilled Syringe [Cimzia]) } Pack [Cimzia Starter Kit (6 count)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2724398",
    "drug_name": "remibrutinib 25 MG Oral Tablet [Rhapsido]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2724431",
    "drug_name": "0.5 ML ustekinumab-aauz 90 MG/ML Injection [Otulfi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2724453",
    "drug_name": "0.8 ML donidalorsen 100 MG/ML Auto-Injector [Dawnzera]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725123",
    "drug_name": "roflumilast 0.5 MG/ML Topical Cream [Zoryve]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725187",
    "drug_name": "thyroid (USP) 15 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725189",
    "drug_name": "thyroid (USP) 30 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725191",
    "drug_name": "thyroid (USP) 60 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725193",
    "drug_name": "thyroid (USP) 120 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725195",
    "drug_name": "thyroid (USP) 180 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725197",
    "drug_name": "thyroid (USP) 45 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725199",
    "drug_name": "thyroid (USP) 75 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725201",
    "drug_name": "thyroid (USP) 90 MG Oral Tablet [Evexithroid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725491",
    "drug_name": "deflazacort 6 MG Oral Tablet [Kymbee]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725493",
    "drug_name": "deflazacort 18 MG Oral Tablet [Kymbee]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725495",
    "drug_name": "deflazacort 30 MG Oral Tablet [Kymbee]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725497",
    "drug_name": "deflazacort 36 MG Oral Tablet [Kymbee]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725923",
    "drug_name": "imlunestrant 200 MG Oral Tablet [Inluriyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2725996",
    "drug_name": "ziftomenib 200 MG Oral Capsule [Komzifti]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2727381",
    "drug_name": "deflazacort 22.75 MG/ML Oral Suspension [Jaythari]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2728184",
    "drug_name": "0.5 ML plozasiran 50 MG/ML Prefilled Syringe [Redemplo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2728198",
    "drug_name": "sevabertinib 10 MG Oral Tablet [Hyrnuo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2728878",
    "drug_name": "berotralstat 108 MG Oral Pellet [Orladeyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2728882",
    "drug_name": "berotralstat 132 MG Oral Pellet [Orladeyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2728886",
    "drug_name": "berotralstat 72 MG Oral Pellet [Orladeyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2728890",
    "drug_name": "berotralstat 96 MG Oral Pellet [Orladeyo]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2729451",
    "drug_name": "trofinetide 5000 MG Powder for Oral Solution [Daybue]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2729455",
    "drug_name": "trofinetide 6000 MG Powder for Oral Solution [Daybue]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2729459",
    "drug_name": "trofinetide 8000 MG Powder for Oral Solution [Daybue]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2729794",
    "drug_name": "cariprazine 0.5 MG Oral Capsule [Vraylar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2729798",
    "drug_name": "cariprazine 0.75 MG Oral Capsule [Vraylar]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730039",
    "drug_name": "carbinoxamine maleate 0.8 MG/ML Oral Solution [Carbzah]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730154",
    "drug_name": "selinexor 80 MG Oral Tablet [Xpovio]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730156",
    "drug_name": "{4 (selinexor 80 MG Oral Tablet [Xpovio]) } Pack [Xpovio 80 MG Once Weekly Carton-80 MG Tablet]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730161",
    "drug_name": "semaglutide 1.5 MG Oral Tablet [Wegovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730165",
    "drug_name": "semaglutide 25 MG Oral Tablet [Wegovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730167",
    "drug_name": "semaglutide 4 MG Oral Tablet [Wegovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730169",
    "drug_name": "semaglutide 9 MG Oral Tablet [Wegovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2730296",
    "drug_name": "meloxicam 1.5 MG/ML Oral Suspension [Zybic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2735125",
    "drug_name": "levorphanol tartrate 2 MG Oral Tablet [Xyvona]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2736944",
    "drug_name": "semaglutide 1.5 MG Oral Tablet [Ozempic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2736946",
    "drug_name": "semaglutide 4 MG Oral Tablet [Ozempic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2736948",
    "drug_name": "semaglutide 9 MG Oral Tablet [Ozempic]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2737151",
    "drug_name": "glipizide 15 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2738811",
    "drug_name": "lomitapide 2 MG Oral Capsule [Juxtapid]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739042",
    "drug_name": "icotrokinra 200 MG Oral Tablet [Icotyde]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739110",
    "drug_name": "{1 (peanut (Arachis hypogaea) allergen-dnfp 1 MG Oral Powder [Palforzia]) } Pack [Palforzia 1 MG (Level 0)]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739554",
    "drug_name": "{1 (relacorilant 100 MG Oral Capsule [Lifyorli]) / 1 (relacorilant 25 MG Oral Capsule [Lifyorli]) }Pack [Lifyorli 125 MG, 1-Dose Supply]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739556",
    "drug_name": "{1 (relacorilant 100 MG Oral Capsule [Lifyorli]) / 2 (relacorilant 25 MG Oral Capsule [Lifyorli]) }Pack [Lifyorli 150 MG, 1-Dose Supply]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739558",
    "drug_name": "{3 (relacorilant 100 MG Oral Capsule [Lifyorli]) / 3 (relacorilant 25 MG Oral Capsule [Lifyorli]) }Pack [Lifyorli 125 MG, 3-Dose Supply]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739560",
    "drug_name": "{9 (relacorilant 100 MG Oral Capsule [Lifyorli]) / 9 (relacorilant 25 MG Oral Capsule [Lifyorli]) }Pack [Lifyorli 125 MG, 9-Dose Supply]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739562",
    "drug_name": "{3 (relacorilant 100 MG Oral Capsule [Lifyorli]) / 6 (relacorilant 25 MG Oral Capsule [Lifyorli]) }Pack [Lifyorli 150 MG, 3-Dose Supply]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739564",
    "drug_name": "{9 (relacorilant 100 MG Oral Capsule [Lifyorli]) / 18 (relacorilant 25 MG Oral Capsule [Lifyorli]) }Pack [Lifyorli 150 MG, 9-Dose Supply]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2739771",
    "drug_name": "0.75 ML semaglutide 9.6 MG/ML Auto-Injector [Wegovy]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2740803",
    "drug_name": "clonidine hydrochloride 0.05 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2741488",
    "drug_name": "0.8 ML eplontersen 56.3 MG/ML Prefilled Syringe [Wainua]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2741708",
    "drug_name": "28 ACTUAT budesonide 0.16 MG/ACTUAT / formoterol fumarate 0.0048 MG/ACTUAT / glycopyrrolate 0.018 MG/ACTUAT Metered Dose Inhaler [Breztri]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "PREFERRED-BRAND",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743016",
    "drug_name": "24 HR ruxolitinib 11 MG Extended Release Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743022",
    "drug_name": "24 HR ruxolitinib 22 MG Extended Release Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743028",
    "drug_name": "24 HR ruxolitinib 33 MG Extended Release Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743035",
    "drug_name": "24 HR ruxolitinib 44 MG Extended Release Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743044",
    "drug_name": "24 HR ruxolitinib 55 MG Extended Release Oral Tablet [Jakafi]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": true,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743361",
    "drug_name": "vepdegestrant 100 MG Oral Tablet [Veppanu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2743365",
    "drug_name": "vepdegestrant 200 MG Oral Tablet [Veppanu]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "NON-PREFERRED-DRUG",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2744290",
    "drug_name": "buspirone hydrochloride 2.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2744292",
    "drug_name": "buspirone hydrochloride 12.5 MG Oral Tablet",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": false,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2745127",
    "drug_name": "everolimus 10 MG Oral Tablet [Yulithira]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2745129",
    "drug_name": "everolimus 2.5 MG Oral Tablet [Yulithira]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  },
  {
    "rxnorm_id": "2745133",
    "drug_name": "everolimus 7.5 MG Oral Tablet [Yulithira]",
    "plans": [
      {
        "plan_id_type": "HIOS-PLAN-ID",
        "plan_id": "77606NJ0040066",
        "drug_tier": "GENERIC",
        "prior_authorization": true,
        "step_therapy": false,
        "quantity_limit": false,
        "years": [
          2026,
          2027
        ]
      }
    ]
  }
]