[ {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160017",
  "marketing_name" : "Anthem Silver Pathway X HMO 3500/20%/10000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350040",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 6000/20%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SV",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160102",
  "marketing_name" : "Anthem Bronze Pathway X HMO 6000/20%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MX",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160069",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 500/30%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MH",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160069",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 500/25%/7000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZT",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160102",
  "marketing_name" : "Anthem Bronze Pathway X HMO 5000/20%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVQ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160033",
  "marketing_name" : "Anthem Gold Pathway X HMO 3000/0%/5500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXG",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350040",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 5000/20%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUT",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160097",
  "marketing_name" : "Anthem Platinum Pathway X HMO 250/10%/3500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NX7",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160033",
  "marketing_name" : "Anthem Gold Pathway X HMO 3000/0%/7500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MJ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160073",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVU",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150210",
  "marketing_name" : "Anthem Gold Pathway X Enhanced 1500/25% ($0 Virtual PCP + $0 Select Drugs) Standard",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81ED",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 250,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 250.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 180.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 37.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 75.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350024",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 500/25%/7000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYS",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160085",
  "marketing_name" : "Anthem Silver Pathway X HMO 5000/0%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94N4",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350036",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350036",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/0%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVS",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160085",
  "marketing_name" : "Anthem Silver Pathway X HMO 5000/0%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYP",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160097",
  "marketing_name" : "Anthem Platinum Pathway X HMO 250/10%/3500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94T4",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350012",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94PC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350012",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 3500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUJ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150210",
  "marketing_name" : "Anthem Gold Pathway X Enhanced 2000/25% ($0 Virtual PCP + $0 Select Drugs) Standard",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y6T",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 37.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 180.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 250,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 250.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 75.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350024",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 500/30%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94R7",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160073",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94M7",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350008",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 3000/0%/7500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94N0",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160018",
  "marketing_name" : "Anthem Silver Pathway X HMO 5000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94Q0",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160018",
  "marketing_name" : "Anthem Silver Pathway X HMO 5000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWP",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160016",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/10%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94TC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160016",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/10%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZ4",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160101",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/10%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160068",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/0%/8500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYY",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160044",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 3000/0%/5500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWH",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160101",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/10%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MY",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160068",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94N8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160032",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/0%/6500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SY",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160032",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/0%/6500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXE",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160044",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 3000/0%/7500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94QQ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350035",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVV",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160084",
  "marketing_name" : "Anthem Silver Pathway X HMO 2000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUU",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160096",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 2500/30%/10000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RL",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160096",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 2000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8AJ6",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350023",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NG",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350023",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/0%/8500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXR",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350035",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/10%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94QY",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160084",
  "marketing_name" : "Anthem Silver Pathway X HMO 2500/30%/10000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MD",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350007",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/10%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MP",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350007",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/10%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV3",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350019",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 6500/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NQ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150015",
  "marketing_name" : "Anthem Bronze Pathway X Enhanced 6000/35% HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81EQ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.4,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150015",
  "marketing_name" : "Anthem Bronze Pathway X Enhanced 6000/35% HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y70",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.4,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350008",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 3000/0%/5500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV5",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150206",
  "marketing_name" : "Anthem Gold Pathway X Enhanced 1000/40% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y62",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 75,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 150.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 25.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 25,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150206",
  "marketing_name" : "Anthem Gold Pathway X Enhanced 700/40% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81GF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 25.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 25,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 75,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 150.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160017",
  "marketing_name" : "Anthem Silver Pathway X HMO 3000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NX1",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160104",
  "marketing_name" : "Anthem Bronze Pathway X HMO 5000/10%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVJ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350042",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 6500/30%/9200 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWT",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160011",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/20%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXZ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160099",
  "marketing_name" : "Anthem Silver Pathway X HMO 3000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVW",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160075",
  "marketing_name" : "Anthem Silver Pathway X HMO 5000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYW",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160087",
  "marketing_name" : "Anthem Platinum Access Blue New England HMO 250/10%/3500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SP",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160087",
  "marketing_name" : "Anthem Platinum Access Blue New England HMO 250/10%/3500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXV",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160011",
  "marketing_name" : "Anthem Gold Pathway X HMO 2000/20%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94Q1",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160099",
  "marketing_name" : "Anthem Silver Pathway X HMO 3000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94P8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350042",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 7500/30%/10000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RS",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350002",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 8500/50%/9200",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV4",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160051",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NY3",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350014",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MM",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350014",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV6",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160075",
  "marketing_name" : "Anthem Silver Pathway X HMO 5000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SZ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350002",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 8500/50%/9200",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MW",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160051",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94ND",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160091",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/0%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NW6",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150026",
  "marketing_name" : "Anthem Bronze Pathway X Enhanced 6500/40% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81GC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.75,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.4,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160091",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94M5",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160008",
  "marketing_name" : "Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160105",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 5000/10%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NY8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160008",
  "marketing_name" : "Anthem Bronze Pathway X HMO 7000/50%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94S1",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160103",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 5000/20%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160103",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 6000/20%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94ML",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160098",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160010",
  "marketing_name" : "Anthem Silver Pathway X HMO 3500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94S6",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350041",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 5000/10%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVH",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160010",
  "marketing_name" : "Anthem Silver Pathway X HMO 3500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXT",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160098",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/10%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8AJ2",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350013",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 3000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYN",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160074",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SE",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160074",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZJ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350037",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94TB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350001",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94S9",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160050",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94P5",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350001",
  "marketing_name" : "Anthem Bronze Preferred Blue PPO 7000/50%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NX3",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160050",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYZ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350013",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 3500/20%/10000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94R2",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150203",
  "marketing_name" : "Anthem Silver Pathway X Enhanced 4500/20% HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd86DQ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.8,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.8,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150215",
  "marketing_name" : "Anthem Bronze Pathway X Enhanced 7000/0% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y66",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 187.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.4,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350037",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/10%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZG",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150203",
  "marketing_name" : "Anthem Silver Pathway X Enhanced 4500/20% HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y5N",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.8,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.8,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160019",
  "marketing_name" : "Anthem Silver Pathway X HMO 4500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160019",
  "marketing_name" : "Anthem Silver Pathway X HMO 4500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RQ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160037",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWX",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160049",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 3500/20%/10000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NA",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160049",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 3000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160013",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZ2",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160037",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 7000/50%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94S5",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350032",
  "marketing_name" : "Anthem Platinum Preferred Blue PPO 250/10%/3500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94MC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350032",
  "marketing_name" : "Anthem Platinum Preferred Blue PPO 250/10%/3500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NW5",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160013",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94R8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160065",
  "marketing_name" : "Anthem Gold Pathway X HMO 500/30%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RU",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160065",
  "marketing_name" : "Anthem Gold Pathway X HMO 500/25%/7000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYH",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150024",
  "marketing_name" : "Anthem Catastrophic Pathway X Enhanced 9200/0%",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81FY",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150036",
  "marketing_name" : "Anthem Gold Pathway X Enhanced 2500/20% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y6W",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 45,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 75.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 37.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160041",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RP",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160041",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/0%/6500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWR",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150024",
  "marketing_name" : "Anthem Catastrophic Pathway X Enhanced",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y60",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 1.0,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350028",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 5000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NX8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160081",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RE",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160081",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 4000/0%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NXM",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150202",
  "marketing_name" : "Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y57",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 137.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350016",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 5000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94QB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150036",
  "marketing_name" : "Anthem Gold Pathway X Enhanced 1200/20% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd86DR",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 37.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 45,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 75.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150202",
  "marketing_name" : "Anthem Silver Pathway X Enhanced 5500/20% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd86DF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 137.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350016",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 5000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZL",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350028",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 5000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SG",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160107",
  "marketing_name" : "Anthem Bronze Pathway X HMO 6500/30%/9200 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZ8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160107",
  "marketing_name" : "Anthem Bronze Pathway X HMO 7500/30%/10000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NJ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160048",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZK",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160048",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 3500/20%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NZ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350031",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 5000/0%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUH",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160076",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 5000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NK",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160076",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 5000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350031",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 5000/0%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94P7",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160052",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 5000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94QK",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350003",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 1000/20%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350003",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 1000/20%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZ1",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160052",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 5000/0%/9000",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUG",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350015",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94S4",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160092",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160092",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 5000/0%/8000 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUR",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350015",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/20%/8500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUX",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350027",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NL",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350027",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 4000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWK",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160106",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 7500/30%/10000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94QX",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160106",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 6500/30%/9200 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NW8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160015",
  "marketing_name" : "Anthem Gold Pathway X HMO 1000/20%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWS",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160027",
  "marketing_name" : "Anthem Silver Pathway X HMO 6500/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94P9",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160027",
  "marketing_name" : "Anthem Silver Pathway X HMO 6500/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV2",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160039",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 1000/20%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94QC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160015",
  "marketing_name" : "Anthem Gold Pathway X HMO 1000/20%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94N5",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160055",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NYD",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160100",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94R6",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160100",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/10%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NX4",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160043",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/10%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RY",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160043",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/10%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVG",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160055",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 6500/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RD",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150022",
  "marketing_name" : "Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81H0",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 112.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 37.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160083",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/10%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NF",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350034",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 3000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94NE",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350034",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 3000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUK",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160083",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/10%/7250 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVB",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150022",
  "marketing_name" : "Anthem Heart Healthy Silver Pathway X Enhanced 4000/0% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y67",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 112.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 37.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350006",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NVE",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150018",
  "marketing_name" : "Anthem Heart Healthy Bronze Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y4R",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350006",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/20%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RZ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150209",
  "marketing_name" : "Anthem Silver Pathway X Enhanced 6000/40% ($0 Virtual PCP + $0 Select Drugs) Standard",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y5R",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 100.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 350,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 350.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 80,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 240.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 20,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350019",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 6500/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV0",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150209",
  "marketing_name" : "Anthem Silver Pathway X Enhanced 5000/40% ($0 Virtual PCP + $0 Select Drugs) Standard",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81EX",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 20,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 350,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 350.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 80,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 240.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 100.00,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160038",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 8500/50%/9200",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RT",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160038",
  "marketing_name" : "Anthem Bronze Access Blue New England HMO 8500/50%/9200",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZR",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160066",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/0%/8500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NW2",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350033",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 2500/30%/10000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RN",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160042",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NV9",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160066",
  "marketing_name" : "Anthem Silver Pathway X HMO 4000/0%/9000 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94T7",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160030",
  "marketing_name" : "Anthem Bronze Pathway X HMO 8500/50%/9200",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94SU",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160030",
  "marketing_name" : "Anthem Bronze Pathway X HMO 8500/50%/9200",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZZ",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 6,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 13,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 35,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160042",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 2000/20%/4600 w/HSA",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94T8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350033",
  "marketing_name" : "Anthem Silver Preferred Blue PPO 2000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NUP",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160094",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 3000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RC",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160094",
  "marketing_name" : "Anthem Silver Access Blue New England HMO 3000/30%/9000 Value",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWM",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 60,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 15,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 10,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 160,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 90,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350005",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd94RX",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "57601NH0350005",
  "marketing_name" : "Anthem Gold Preferred Blue PPO 2000/0%/6500 RxD",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NZS",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150208",
  "marketing_name" : "Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8Y5B",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 500,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 500.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 100,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 300.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 125.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 25,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 62.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2026 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150208",
  "marketing_name" : "Anthem Bronze Pathway X Enhanced 7500/50% ($0 Virtual PCP + $0 Select Drugs) Standard",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81H8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 500,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 500.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 50,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 125.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 100,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 300.00,
      "copayOpt" : "AFTER DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 25,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 62.50,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0150018",
  "marketing_name" : "Anthem Heart Healthy Bronze Pathway X Enhanced 6000/30% ($0 Virtual PCP + $0 Select Drugs)",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd81F8",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.45,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.65,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-ONE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.55,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "AFTER DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
}, {
  "plan_id_type" : "HIOS-PLAN-ID",
  "plan_id" : "96751NH0160039",
  "marketing_name" : "Anthem Gold Access Blue New England HMO 1000/20%/7500",
  "summary_url" : "http://www.sbc.anthem.com/dps/ccd8NWN",
  "plan_contact" : "JSON-DeliverySupport@elevancehealth.com",
  "network" : [ {
    "network_tier" : "PARTICIPATING"
  } ],
  "formulary" : [ {
    "drug_tier" : "TIER-ONE-A",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 12,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 4,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-THREE",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.7,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  }, {
    "drug_tier" : "TIER-TWO",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 120,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 70,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-ONE-B",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 40,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    }, {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 30,
      "copayOpt" : "NO DEDUCTIBLE",
      "coinsuranceRate" : 0.0,
      "coinsuranceOpt" : null
    } ]
  }, {
    "drug_tier" : "TIER-FOUR",
    "mail_order" : true,
    "costSharing" : [ {
      "pharmacyType" : "1-MONTH-IN-RETAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.5,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    }, {
      "pharmacyType" : "3-MONTH-IN-MAIL",
      "copayAmount" : 0,
      "copayOpt" : null,
      "coinsuranceRate" : 0.6,
      "coinsuranceOpt" : "NO DEDUCTIBLE"
    } ]
  } ],
  "last_updated_on" : "2025-07-12",
  "years" : [ 2025 ]
} ]