FORMULARY_ID|FORMULARY_VERSION|CONTRACT_YEAR|RXCUI|NDC|TIER_LEVEL_VALUE|QUANTITY_LIMIT_YN|QUANTITY_LIMIT_AMOUNT|QUANTITY_LIMIT_DAYS|PRIOR_AUTHORIZATION_YN|STEP_THERAPY_YN|SELECTED_DRUG_YN
00019001|1|2026|617311|00093505698|1|N|0|0|N|N|Y
00019001|1|2026|1364445|00003089421|3|N|0|0|Y|N|Y
00019002|1|2026|617311|00093505698|2|N|0|0|N|N|Y
00019001|1|2026|261551|00088221905|3|N|0|0|N|N|N
00019002|1|2026|261551|00088221905|2|N|0|0|N|N|N
