CONTRACT_ID|PLAN_ID|SEGMENT_ID|TIER|DAYS_SUPPLY|copay_amt_pref_insln|copay_amt_nonpref_insln|copay_amt_mail_pref_insln|copay_amt_mail_nonpref_insln|coin_amt_pref_insln|coin_amt_nonpref_insln|coin_amt_mail_pref_insln|coin_amt_mail_nonpref_insln
S0001|001|0|3|1|25.00|35.00| | | | | | 
S0001|001|0|3|2|75.00|105.00| | | | | | 
S0002|001|0|2|1| | | | |0.25|0.25| | 
S0001|001|0|.|1|45.00|55.00| | | | | | 
