| Name | Description | Type | Additional information |
|---|---|---|---|
| IsExcluded | boolean |
None. |
|
| HasMedicalNecessity | boolean |
None. |
|
| HasPriorAuthorization | boolean |
None. |
|
| HasStepTherapy | boolean |
None. |
|
| HasQuantityLimit | boolean |
None. |
|
| HasAgeLimit | boolean |
None. |
|
| AgeLimitRestrictions | Collection of AgeLimitRestriction |
None. |
|
| GenderRestriction | GenderType |
None. |
|
| QuantityLimitRestrictions | Collection of QuantityLimitRestriction |
None. |
|
| StepMedicationRestrictions | Collection of StepMedicationRestriction |
None. |
|
| Messages | Collection of CoverageMessage |
None. |
|
| DrugResources | Collection of CoverageResource |
None. |
|
| SummaryResources | Collection of CoverageResource |
None. |