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{"sheet":"Calculator","index":0,"n_rows":82,"n_cols":9,"rows_kept":82,"cut":false,"hidden":false,"merged":[[81,0,81,7],[1,0,1,7],[3,0,3,7],[56,0,56,7],[48,0,50,0],[51,0,54,0],[18,0,18,7],[10,0,10,7],[30,0,37,0],[27,0,29,0],[2,0,2,7],[71,0,76,0]]}
[]
["KrolLDiscovery Employee Plan Costs Calculator"]
["Note:  Healthcare costs are unpredictable; this comparison sheet provides only a general estimate of healthcare costs, based on average procedure cost.  Your actual cost will be different.  The calculator assumes all claims are in-network."]
["Instructions"]
["     - Select coverage type and contribution band from the drop down menus."]
["     - Input HSA rollover amount if applicable."]
["     - Enter the applicable information for you and your covered dependents in the light blue cells.  Delete any inputs in cells that are not light blue."]
["     - If you do not want to enter data, either leave it blank or 0.  Do not enter a space.  Clear the calculator by clicking the button before re-entering data."]
["     - Click the \"Low\", \"Med\", or \"High\" buttons to input default utilization assumptions."]
["     - Use the outputs to determine which plans are most cost effective."]
["Type of Coverage"]
[]
["   Coverage Type","Employee",null,null,{"$f":"IF(B15=\"\",\"Warning: Select a\"&\" \"& A15,\"\")","v":""},null,null,{"$f":"B13=\"Employee\"","v":true}]
[null,null,null,null,null,null,null,{"$f":"B13=\"Employee + Spouse\"","v":false}]
[{"$f":"'2. Contribution Inputs'!D17","v":"Contribution Band"},"Active",null,null,null,null,null,{"$f":"B13=\"Employee + 1\"","v":false}]
[null,null,null,null,null,null,null,{"$f":"B13=\"Employee + Child\"","v":false}]
["   Health Savings Account (HSA) Rollover from Prior Years",0,null,null,{"$f":"IF(OR(AND(D21=\"\",SUM(D22:D38)<>0),AND(E21=\"\",SUM(E22:E38)<>0),AND(F21=\"\",SUM(F22:F38)<>0),AND(G21=\"\",SUM(G22:G38)<>0),AND(H21=\"\",SUM(H22:H38)<>0),AND(I21=\"\",SUM(I22:I38)<>0)),\"Warning: Clear the gray utilization inputs below\",\"\")","v":""},null,null,{"$f":"B13=\"Employee + Child(ren)\"","v":false}]
[null,null,null,null,null,null,null,{"$f":"B13=\"Employee + Family\"","v":false}]
["Are you (and other dependent plan participants) Low, Medium, or High Utilizers of the Medical Plan?"]
["You can enter the estimated number of visits below or have the tool generalize for you to the right --->"]
[null,null,{"$f":"'2. Contribution Inputs'!C10","v":"Employee"},{"$f":"IF(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,3,FALSE)=0,\"\",(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,3,FALSE)))","v":""},{"$f":"IF(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,4,FALSE)=0,\"\",(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,4,FALSE)))","v":""},{"$f":"IF(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,5,FALSE)=0,\"\",(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,5,FALSE)))","v":""},{"$f":"IF(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,6,FALSE)=0,\"\",(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,6,FALSE)))","v":""},{"$f":"IF(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,7,FALSE)=0,\"\",(VLOOKUP(Coverage,Worksheet!$E$1:$K$14,7,FALSE)))","v":""}]
["Preventive Services","Annual number of Covered Preventive Visits"]
["Hospitalizations","Annual number of Days in Hospitals"]
["Outpatient Surgery","Annual number of Outpatient Surgeries"]
["Lab/X-ray/other Radiology Performed in Hospital/Outpatient Facility","Annual number of Lab/Radiology Procedures (performed in the hospital or outpatient facility)"]
["Emergency Room Visits","Annual number of Emergency Room Visits"]
["Urgent Care Visits","Annual number of Urgent Care Visits"]
["Office Visits","Annual number of Primary Care Office Visits "]
[null,"Annual number of Specialists Office Visits "]
[null,"Annual number of Chiropractor Visits"]
["Prescription Drugs","Total number of Generic Prescriptions (Retail)—Annual"]
[null,"Total number of Formulary Brand-name Prescriptions (Retail)—Annual"]
[null,"Total number of Non-Formulary Brand-name Prescriptions (Retail)—Annual"]
[null,"Total number of Specialty Prescriptions (Retail)—Annual"]
[null,"Total number of Generic Prescriptions (Mail)—Annual"]
[null,"Total number of Formulary Brand-name Prescriptions (Mail)—Annual"]
[null,"Total number of Non-Formulary Brand-name Prescriptions (Mail)—Annual"]
[null,"Total number of Specialty Prescriptions (Mail)—Annual"]
["All Other","Enter the annual allowed charges for all other claims (i.e., outpatient hospital services other than surgery, ambulance, durable medical equipment, home healthcare, etc.)"]
[null,"Utilization Default",{"$f":"IF(SUM(Input1)=0,\"None\",IF(AND(EXACT(Input1,LowAdult)),\"Low\",IF(AND(EXACT(Input1,MedAdult)),\"Med\",IF(AND(EXACT(Input1,HighAdult)),\"High\",\"Custom\"))))","v":"None"},{"$f":"IF(Description2=\"\",\"\",IF(SUM(Input2)=0,\"None\",IF(Description2=\"Child\",IF(AND(EXACT(Input2,LowChild)),\"Low\",IF(AND(EXACT(Input2,MedChild)),\"Med\",IF(AND(EXACT(Input2,HighChild)),\"High\",\"Custom\"))),IF(AND(EXACT(Input2,LowAdult)),\"Low\",IF(AND(EXACT(Input2,MedAdult)),\"Med\",IF(AND(EXACT(Input2,HighAdult)),\"High\",\"Custom\"))))))","v":""},{"$f":"IF(Description3=\"\",\"\",IF(SUM(Input3)=0,\"None\",IF(Description3=\"Child\",IF(AND(EXACT(Input3,LowChild)),\"Low\",IF(AND(EXACT(Input3,MedChild)),\"Med\",IF(AND(EXACT(Input3,HighChild)),\"High\",\"Custom\"))),IF(AND(EXACT(Input3,LowAdult)),\"Low\",IF(AND(EXACT(Input3,MedAdult)),\"Med\",IF(AND(EXACT(Input3,HighAdult)),\"High\",\"Custom\"))))))","v":""},{"$f":"IF(Description4=\"\",\"\",IF(SUM(Input4)=0,\"None\",IF(Description4=\"Child\",IF(AND(EXACT(Input4,LowChild)),\"Low\",IF(AND(EXACT(Input4,MedChild)),\"Med\",IF(AND(EXACT(Input4,HighChild)),\"High\",\"Custom\"))),IF(AND(EXACT(Input4,LowAdult)),\"Low\",IF(AND(EXACT(Input4,MedAdult)),\"Med\",IF(AND(EXACT(Input4,HighAdult)),\"High\",\"Custom\"))))))","v":""},{"$f":"IF(Description5=\"\",\"\",IF(SUM(Input5)=0,\"None\",IF(Description5=\"Child\",IF(AND(EXACT(Input5,LowChild)),\"Low\",IF(AND(EXACT(Input5,MedChild)),\"Med\",IF(AND(EXACT(Input5,HighChild)),\"High\",\"Custom\"))),IF(AND(EXACT(Input5,LowAdult)),\"Low\",IF(AND(EXACT(Input5,MedAdult)),\"Med\",IF(AND(EXACT(Input5,HighAdult)),\"High\",\"Custom\"))))))","v":""},{"$f":"IF(Description6=\"\",\"\",IF(SUM(Input6)=0,\"None\",IF(Description6=\"Child\",IF(AND(EXACT(Input6,LowChild)),\"Low\",IF(AND(EXACT(Input6,MedChild)),\"Med\",IF(AND(EXACT(Input6,HighChild)),\"High\",\"Custom\"))),IF(AND(EXACT(Input6,LowAdult)),\"Low\",IF(AND(EXACT(Input6,MedAdult)),\"Med\",IF(AND(EXACT(Input6,HighAdult)),\"High\",\"Custom\"))))))","v":""}]
[]
["Cost Per Service:  Model assumes the following cost per service.  Override if your cost per service are expected to be different."]
["Preventive Services","Cost of Covered Preventive Services ",128.85750000000002]
["Hospitalizations","Cost for Hospitalizations per Day",4362]
["Outpatient Surgery","Cost for Outpatient Surgeries",1293.968887190953]
["Lab/X-ray/other Radiology Performed in Hospital/Outpatient Facility","Cost of Lab/Radiology Procedures ",260.05]
["Emergency Room Visits","Cost of Emergency Room ",1849]
["Urgent Care Visits","Cost of Urgent Care",138]
["Office Visits","Cost of Primary Care Office Visits, including lab and x-ray ",130.96183333333335]
[null,"Cost of Specialists Office Visits, including lab and x-ray ",189.62]
[null,"Cost of Chiropractor Visit",34.5]
["Prescription Drugs","Cost per Generic Prescription",31]
[null,"Cost per Formulary Brand-Name Prescription",292]
[null,"Cost per Non-Formulary Brand-Name Prescription",292]
[null,"Cost per Specialty Prescription",2733]
[]
[" "]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Plan Options","Employee Out of Pocket Medical Cost","Employee Annualized Contribution","Total Employee Out of Pocket","Employer Contribution to HSA/HRA (including rollover)*","Total Employee Contribution and Out of Pocket cost after HSA ","HSA/HRA Rollover Excess Funds"]
[null,{"$f":"IF('1. Plan Inputs'!F17=\"\",\"\",'1. Plan Inputs'!F17)","v":"OAP"},{"$f":"IF(B72=\"\",\"\",IF(Calculator!B13=Worksheet!E1,Worksheet!F143,IF('1. Plan Inputs'!G26=\"Embedded\",Worksheet!F143,Worksheet!F154)))","v":0},{"$f":"IF(B72=\"\",\"\",(VLOOKUP(B13,'2. Contribution Inputs'!B36:N41,MATCH(B15,'2. Contribution Inputs'!C35:N35,0)+1,0))*12)","v":2165.2800000000002},{"$f":"IF(B72=\"\",\"\",D72+C72)","v":2165.2800000000002},{"$f":"IF(B72=\"\",\"\",IF('1. Plan Inputs'!G19=\"Yes\",VLOOKUP(B13,'2. Contribution Inputs'!B93:N98,MATCH(Calculator!B15,'2. Contribution Inputs'!C92:N92,0)+1,0)*12,0)+B17)","v":0},{"$f":"IF(B72=\"\",\"\",IF(C72=0,E72,IF(C72<F72,D72,E72-F72)))","v":2165.2800000000002},{"$f":"IF(B72=\"\",\"\",IF(C72<F72,F72-C72,0))","v":0},{"$f":"IF(G72<=MIN(G$72:G$77),B72,\"\")","v":""}]
[null,{"$f":"IF('1. Plan Inputs'!I17=\"\",\"\",'1. Plan Inputs'!I17)","v":"HSA 1350"},{"$f":"IF(B73=\"\",\"\",IF(Calculator!B13=Worksheet!E1,Worksheet!N143,IF('1. Plan Inputs'!J26=\"Embedded\",Worksheet!N143,Worksheet!N154)))","v":0},{"$f":"IF(B73=\"\",\"\",(VLOOKUP(B13,'2. Contribution Inputs'!B45:N50,MATCH(B15,'2. Contribution Inputs'!C44:N44,0)+1,0))*12)","v":1531.14},1531.14,{"$f":"IF(B73=\"\",\"\",IF('1. Plan Inputs'!J19=\"Yes\",VLOOKUP(B13,'2. Contribution Inputs'!B102:N107,MATCH(Calculator!B15,'2. Contribution Inputs'!C101:N101,0)+1,0)*12,0)+B17)","v":400},{"$f":"IF(B73=\"\",\"\",IF(C73=0,E73,IF(C73<F73,D73,E73-F73)))","v":1531.14},400,{"$f":"IF(G73<=MIN(G$72:G$77),B73,\"\")","v":""}]
[null,{"$f":"IF('1. Plan Inputs'!L17=\"\",\"\",'1. Plan Inputs'!L17)","v":"HSA 2000"},{"$f":"IF(B74=\"\",\"\",IF(Calculator!B13=Worksheet!E1,Worksheet!V143,IF('1. Plan Inputs'!M26=\"Embedded\",Worksheet!V143,Worksheet!V154)))","v":0},{"$f":"IF(B74=\"\",\"\",(VLOOKUP(B13,'2. Contribution Inputs'!B54:N59,MATCH(B15,'2. Contribution Inputs'!C53:N53,0)+1,0))*12)","v":673.14},673.14,{"$f":"IF(B74=\"\",\"\",IF('1. Plan Inputs'!M19=\"Yes\",VLOOKUP(B13,'2. Contribution Inputs'!B111:N116,MATCH(Calculator!B15,'2. Contribution Inputs'!C110:N110,0)+1,0)*12,0)+B17)","v":400},{"$f":"IF(B74=\"\",\"\",IF(C74=0,E74,IF(C74<F74,D74,E74-F74)))","v":673.14},400,"HSA 2000"]
[null,{"$f":"IF('1. Plan Inputs'!O17=\"\",\"\",'1. Plan Inputs'!O17)","v":""},{"$f":"IF(B75=\"\",\"\",IF(Calculator!B13=Worksheet!E1,Worksheet!AD143,IF('1. Plan Inputs'!P26=\"Embedded\",Worksheet!AD143,Worksheet!AD154)))","v":""},{"$f":"IF(B75=\"\",\"\",(VLOOKUP(B13,'2. Contribution Inputs'!B63:N68,MATCH(B15,'2. Contribution Inputs'!C62:N62,0)+1,0))*12)","v":""},"",{"$f":"IF(B75=\"\",\"\",IF('1. Plan Inputs'!P19=\"Yes\",VLOOKUP(B13,'2. Contribution Inputs'!B120:N125,MATCH(Calculator!B15,'2. Contribution Inputs'!C119:N119,0)+1,0)*12,0)+B17)","v":""},"","",""]
[null,{"$f":"IF('1. Plan Inputs'!R17=\"\",\"\",'1. Plan Inputs'!R17)","v":""},{"$f":"IF(B76=\"\",\"\",IF(Calculator!B13=Worksheet!E1,Worksheet!AL143,IF('1. Plan Inputs'!S26=\"Embedded\",Worksheet!AL143,Worksheet!AL154)))","v":""},{"$f":"IF(B76=\"\",\"\",(VLOOKUP(B13,'2. Contribution Inputs'!B72:N77,MATCH(B15,'2. Contribution Inputs'!C71:N71,0)+1,0))*12)","v":""},"",{"$f":"IF(B76=\"\",\"\",IF('1. Plan Inputs'!S19=\"Yes\",VLOOKUP(B13,'2. Contribution Inputs'!B129:N134,MATCH(Calculator!B15,'2. Contribution Inputs'!C128:N128,0)+1,0)*12,0)+B17)","v":""},"","",""]
[null,{"$f":"IF('1. Plan Inputs'!U17=\"\",\"\",'1. Plan Inputs'!U17)","v":""},{"$f":"IF(B77=\"\",\"\",IF(Calculator!B13=Worksheet!E1,Worksheet!AT143,IF('1. Plan Inputs'!V26=\"Embedded\",Worksheet!AT143,Worksheet!AT154)))","v":""},{"$f":"IF(B77=\"\",\"\",(VLOOKUP(B13,'2. Contribution Inputs'!B81:N86,MATCH(B15,'2. Contribution Inputs'!C80:N80,0)+1,0))*12)","v":""},"",{"$f":"IF(B77=\"\",\"\",IF('1. Plan Inputs'!V19=\"Yes\",VLOOKUP(B13,'2. Contribution Inputs'!B138:N143,MATCH(Calculator!B15,'2. Contribution Inputs'!C137:N137,0)+1,0)*12,0)+B17)","v":""},"","",""]
[]
[]
["The following plan(s) is (are) the lowest cost options:",{"$f":"I72&\"   \"&I73&\"   \"&I74&\"   \"&I75&\"   \"&I76&\"   \"&I77","v":"      HSA 2000         "}]
[]
["© 2016 Lockton, Inc. All rights reserved."]

{"sheet":"1. Plan Inputs","index":1,"n_rows":61,"n_cols":22,"rows_kept":61,"cut":false,"hidden":true,"merged":[[0,0,0,6]]}
["Instructions"]
["Only light blue boxes should be used to input information."]
[]
["1.  Select the number of plans and input unique names for each plan."]
[]
["2.  Input the benefit design for each plan.  If the inputs do not accommodate your plan please contact"]
["LBG actuarial."]
[]
["3.  To reset a plan to the default settings click the \"Reset Defaults\" buttons.  Click the \"Reset Defaults\""]
["button for unused plan slots."]
[]
["4.  Move to the \"2. Contribution Inputs\" tab when finished."]
[]
["Number of unique plans:",null,null,null,3]
[null,"Reselecting might clear plan designs"]
[]
["Plan Name:",null,null,null,null,"OAP",null,null,"HSA 1350",null,null,"HSA 2000"]
[]
[null,"Does the plan have an HSA or HRA?",null,null,null,null,"No",null,"HSA/HRA?","Yes",null,"HSA/HRA?","Yes",null,"HSA/HRA?","No",null,"HSA/HRA?","No",null,"HSA/HRA?","No"]
[]
["Input Benefits:"]
[]
[null,"Individual Deductible:",null,null,null,null,250,null,"Ind. Ded.:",1350,null,"Ind. Ded.:",2000,null,"Ind. Ded.:",0,null,"Ind. Ded.:",0,null,"Ind. Ded.:",0]
[null,"Family Deductible:",null,null,null,null,500,null,"Fam. Ded.:",2700,null,"Fam. Ded.:",4000,null,"Fam. Ded.:",0,null,"Fam. Ded.:",0,null,"Fam. Ded.:",0]
[]
[null,null,"Embedded/Non-Embedded:",null,null,null,"Embedded",null,"Emb/Non-Emb:","Non-Embedded",null,"Emb/Non-Emb:","Non-Embedded",null,null,"Embedded",null,"Emb/Non-Emb:","Embedded",null,"Emb/Non-Emb:","Embedded"]
[null,null,null,"Applies to Deductible and Out-of-Pocket Max"]
[null,"Member Coinsurance:",null,null,null,null,0.1,null,"Coinsurance:",0.2,null,"Coinsurance:",0.2,null,"Coinsurance:",0,null,"Coinsurance:",0,null,"Coinsurance:",0]
[]
[null,"Individual Out-of-Pocket Max:",null,null,null,null,2500,null,"Ind. OOP Max:",2700,null,"Ind. OOP Max:",6000,null,"Ind. OOP Max:",0,null,"Ind. OOP Max:",0,null,"Ind. OOP Max:",0]
[null,"Family Out-of-Pocket Max:",null,null,null,null,5000,null,"Fam. OOP max:",5400,null,"Fam. OOP max:",12000,null,"Fam. OOP max:",0,null,"Fam. OOP max:",0,null,"Fam. OOP max:",0]
[null,null,"The Out-of-Pocket Max includes the deductible"]
[null,null,null,null,null,"Subject to Ded/Coins?","Copayment Amount",null,"Subject to Ded/Coins?","Copayment Amount",null,"Subject to Ded/Coins?","Copayment Amount",null,"Subject to Ded/Coins?","Copayment Amount",null,"Subject to Ded/Coins?","Copayment Amount",null,"Subject to Ded/Coins?","Copayment Amount"]
[null,"Inpatient:",null,null,null,"Yes",null,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[null,"Outpatient:",null,null,null,"Yes",null,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[null,"Lab/X-Ray/Radiology:",null,null,null,"No",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[]
[null,"Emergency Room",null,null,null,"No",200,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[null,"Urgent Care",null,null,null,"No",75,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[]
[null,"Preventive Visit:",null,null,null,"No",0,null,"No",0,null,"No",0,null,"No",0,null,"No",0,null,"No",0]
[null,"PCP Office Visit:",null,null,null,"Yes",25,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[null,"Specialist Office Visit:",null,null,null,"Yes",50,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[null,"Chiropractor:",null,null,null,"Yes",25,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0,null,"Yes",0]
[]
[null,"Medical Copays apply to OOP Max?",null,null,null,null,"Yes",null,"Med copays to OOP?","Yes",null,"Med copays to OOP?","Yes",null,"Med copays to OOP?","Yes",null,"Med copays to OOP?","Yes",null,"Med copays to OOP?","Yes"]
[]
[null,"Rx copayments/coinsurance apply to OOP Max?",null,null,null,null,"Yes",null,"Rx to OOP?","Yes",null,"Rx to OOP?","Yes",null,"Rx to OOP?","Yes",null,"Rx to OOP?","Yes",null,"Rx to OOP?","Yes"]
[]
[null,"Rx Subject to Deductible?",null,null,null,null,"No",null,"Rx to Ded?","Yes",null,"Rx to Ded?","Yes",null,"Rx to Ded?","No",null,"Rx to Ded?","No",null,"Rx to Ded?","No"]
[]
[null,"Input Copayments OR Coinsurance",null,null,null,"Copayment Amount","Rx Coinsurance",null,"Copayment Amount","Rx Coinsurance",null,"Copayment Amount","Rx Coinsurance",null,"Copayment Amount","Rx Coinsurance",null,"Copayment Amount","Rx Coinsurance",null,"Copayment Amount","Rx Coinsurance"]
[null,"Rx Generic (Retail):",null,null,null,10,0,null,10,0,null,10,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Brand Formulary (Retail):",null,null,null,35,0,null,35,0,null,35,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Brand Non-Formulary (Retail):",null,null,null,60,0,null,60,0,null,60,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Specialty (Retail):",null,null,null,60,0,null,60,0,null,60,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Generic (Mail/90-Day):",null,null,null,20,0,null,20,0,null,20,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Brand Formulary (Mail/90-Day):",null,null,null,70,0,null,70,0,null,70,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Brand Non-Formulary (Mail/90-Day):",null,null,null,120,0,null,120,0,null,120,0.2,null,0,0,null,0,0,null,0,0]
[null,"Rx Specialty (Mail/90-Day):",null,null,null,120,0,null,120,0,null,120,0.2,null,0,0,null,0,0,null,0,0]
[null,null,"Model Assumes copays if both copays and coinsurance are entered."]

{"sheet":"2. Contribution Inputs","index":2,"n_rows":143,"n_cols":14,"rows_kept":143,"cut":false,"hidden":true,"merged":[[0,5,0,8],[19,5,20,5],[22,5,23,5],[25,5,26,5],[19,8,23,8]]}
[null,null,null,null,null,"Instructions"]
[null,null,null,null,null,"Only light blue boxes should be used to input information."]
[]
[null,null,null,null,null,"1.  Go to the \"Tier Description\" box and select the appropriate tier structure."]
[]
[null,null,null,null,null,"2.  Go to the \"Contribution Band\" box and list all contribution bands.  Enter all possible bands"]
[null,null,null,null,null,"even if certain bands do not apply to every plan.  YOU MUST ENTER AT LEAST ONE CONTRIBUTION"]
[null,"1. Tier Description:",null,null,null,"BAND NAME.  In the top right, input the label that will appear on the calculator tab."]
[null,null,null,"Sample"]
[null,"Tier 1:","Employee","Employee",null,"3.  Go to the \"Monthly Employee Contributions\" box and enter the contribution amounts for the"]
[null,"Tier 2:","Employee + Spouse","Employee + Spouse",null,"appropriate plan, tier, and band."]
[null,"Tier 3:","Employee + Child(ren)","Employee + Child(ren)"]
[null,"Tier 4:","Employee + Family","Employee + Family",null,"4.  If one or more of the plans has an HSA then continue to the \"Monthly Employer HSA."]
[null,"Tier 5:",null,null,null,"Contributions\" box.  Enter the monthly HSA amounts for the appropriate plan, tier, and band."]
[null,"Tier 6:"]
[null,null,null,null,null,"5.  Use the buttons below to select which features will be visible on the \"Calculator\" tab."]
[null,"2. Contribution Bands:",null,"Contribution Band"]
[null,null,null,"Sample",null,"6.  Click the \"Lock\" button to lock the calculator for client use.  The password to unlock is \"calculator\"."]
[null,"Band 1:","Active","<=$75k"]
[null,"Band 2:",null,"$75k - $125k",null,"Low/Med/High Inputs:",null,null,"The Low/Med/High Inputs and Utilization Inputs should not be hidden simultaneously."]
[null,"Band 3:",null,"$125k+"]
[null,"Band 4:",null,"<=$75k, Tobacco"]
[null,"Band 5:",null,"$75k - $125k Tobacco",null,"Utilization Inputs:"]
[null,"Band 6:",null,"$125k+ Tobacco"]
[null,"Band 7:"]
[null,"Band 8:",null,null,null,"Costs per Service"]
[null,"Band 9:"]
[null,"Band 10:"]
[null,"Band 11:"]
[null,"Band 12:"]
[]
[null,"3. Monthly Employee Contributions:"]
[]
[null,{"$f":"'1. Plan Inputs'!F17","v":"OAP"}]
[null,null,{"$f":"$C$19","v":"Active"},{"$f":"$C$20","v":0},{"$f":"$C$21","v":0},{"$f":"$C$22","v":0},{"$f":"$C$23","v":0},{"$f":"$C$24","v":0},{"$f":"$C$25","v":0},{"$f":"$C$26","v":0},{"$f":"$C$27","v":0},{"$f":"$C$28","v":0},{"$f":"$C$29","v":0},{"$f":"$C$30","v":0}]
[null,{"$f":"$C$10","v":"Employee"},{"$f":"83.28*26/12","v":180.44000000000003}]
[null,{"$f":"$C$11","v":"Employee + Spouse"},{"$f":"178.41*26/12","v":386.55500000000001}]
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[]
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["Inpatient Copay:",{"$f":"'1. Plan Inputs'!G34","v":0},0,{"$f":"C27","v":0},0,0,0,null,"Inpatient Copay:",{"$f":"'1. Plan Inputs'!J34","v":0},0,0,0,0,0,null,"Inpatient Copay:",{"$f":"'1. Plan Inputs'!M34","v":0},0,0,0,0,0,null,"Inpatient Copay:",{"$f":"'1. Plan Inputs'!P34","v":0},0,0,0,0,0,null,"Inpatient Copay:",{"$f":"'1. Plan Inputs'!S34","v":0},0,0,0,0,0,null,"Inpatient Copay:",{"$f":"'1. Plan Inputs'!V34","v":0},0,0,0,0,0]
["Outpatient Copay:",{"$f":"'1. Plan Inputs'!G35","v":0},0,0,0,0,0,null,"Outpatient Copay:",{"$f":"'1. Plan Inputs'!J35","v":0},0,0,0,0,0,null,"Outpatient Copay:",{"$f":"'1. Plan Inputs'!M35","v":0},0,0,0,0,0,null,"Outpatient Copay:",{"$f":"'1. Plan Inputs'!P35","v":0},0,0,0,0,0,null,"Outpatient Copay:",{"$f":"'1. Plan Inputs'!S35","v":0},0,0,0,0,0,null,"Outpatient Copay:",{"$f":"'1. Plan Inputs'!V35","v":0},0,0,0,0,0]
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["Urgent Care Visit:",{"$f":"Calculator!C48","v":138},138,{"$f":"C69","v":138},138,138,138,null,"Urgent Care Visit:",138,138,138,138,138,138,null,"Urgent Care Visit:",138,138,138,138,138,138,null,"Urgent Care Visit:",138,138,138,138,138,138,null,"Urgent Care Visit:",138,138,138,138,138,138,null,"Urgent Care Visit:",138,138,138,138,138,138]
["PCP Office Visit:",{"$f":"Calculator!C49","v":130.96183333333335},130.96183333333335,{"$f":"C70","v":130.96183333333335},130.96183333333335,130.96183333333335,130.96183333333335,null,"PCP Office Visit:",130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,null,"PCP Office Visit:",130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,null,"PCP Office Visit:",130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,null,"PCP Office Visit:",130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,null,"PCP Office Visit:",130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335,130.96183333333335]
["Specialist Office Visit:",{"$f":"Calculator!C50","v":189.62},189.62,{"$f":"C71","v":189.62},189.62,189.62,189.62,null,"Specialist Office Visit:",189.62,189.62,189.62,189.62,189.62,189.62,null,"Specialist Office Visit:",189.62,189.62,189.62,189.62,189.62,189.62,null,"Specialist Office Visit:",189.62,189.62,189.62,189.62,189.62,189.62,null,"Specialist Office Visit:",189.62,189.62,189.62,189.62,189.62,189.62,null,"Specialist Office Visit:",189.62,189.62,189.62,189.62,189.62,189.62]
["Chiropractor Visit:",{"$f":"Calculator!C51","v":34.5},34.5,{"$f":"C72","v":34.5},34.5,34.5,34.5,null,"Chiropractor Visit:",34.5,34.5,34.5,34.5,34.5,34.5,null,"Chiropractor Visit:",34.5,34.5,34.5,34.5,34.5,34.5,null,"Chiropractor Visit:",34.5,34.5,34.5,34.5,34.5,34.5,null,"Chiropractor Visit:",34.5,34.5,34.5,34.5,34.5,34.5,null,"Chiropractor Visit:",34.5,34.5,34.5,34.5,34.5,34.5]
["Rx Generic (Retail):",{"$f":"Calculator!C52","v":31},31,{"$f":"C73","v":31},31,31,31,null,"Rx Generic (Retail):",31,31,31,31,31,31,null,"Rx Generic (Retail):",31,31,31,31,31,31,null,"Rx Generic (Retail):",31,31,31,31,31,31,null,"Rx Generic (Retail):",31,31,31,31,31,31,null,"Rx Generic (Retail):",31,31,31,31,31,31]
["Rx Brand Formulary (Retail):",{"$f":"Calculator!C53","v":292},292,{"$f":"C74","v":292},292,292,292,null,"Rx Brand Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Formulary (Retail):",292,292,292,292,292,292]
["Rx Brand Non-Formulary (Retail):",{"$f":"Calculator!C54","v":292},292,{"$f":"C75","v":292},292,292,292,null,"Rx Brand Non-Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Non-Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Non-Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Non-Formulary (Retail):",292,292,292,292,292,292,null,"Rx Brand Non-Formulary (Retail):",292,292,292,292,292,292]
["Rx Specialty (Retail):",{"$f":"Calculator!C55","v":2733},2733,{"$f":"C76","v":2733},2733,2733,2733,null,"Rx Specialty (Retail):",2733,2733,2733,2733,2733,2733,null,"Rx Specialty (Retail):",2733,2733,2733,2733,2733,2733,null,"Rx Specialty (Retail):",2733,2733,2733,2733,2733,2733,null,"Rx Specialty (Retail):",2733,2733,2733,2733,2733,2733,null,"Rx Specialty (Retail):",2733,2733,2733,2733,2733,2733]
["Rx Generic (Mail):",{"$f":"B73*3","v":93},93,{"$f":"C77","v":93},93,93,93,null,"Rx Generic (Mail):",93,93,93,93,93,93,null,"Rx Generic (Mail):",93,93,93,93,93,93,null,"Rx Generic (Mail):",93,93,93,93,93,93,null,"Rx Generic (Mail):",93,93,93,93,93,93,null,"Rx Generic (Mail):",93,93,93,93,93,93]
["Rx Brand Formulary (Mail):",{"$f":"B74*3","v":876},876,{"$f":"C78","v":876},876,876,876,null,"Rx Brand Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Formulary (Mail):",876,876,876,876,876,876]
["Rx Brand Non-Formulary (Mail):",{"$f":"B75*3","v":876},876,{"$f":"C79","v":876},876,876,876,null,"Rx Brand Non-Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Non-Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Non-Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Non-Formulary (Mail):",876,876,876,876,876,876,null,"Rx Brand Non-Formulary (Mail):",876,876,876,876,876,876]
["Rx Specialty (Mail):",{"$f":"B76*3","v":8199},8199,{"$f":"C80","v":8199},8199,8199,8199,null,"Rx Specialty (Mail):",8199,8199,8199,8199,8199,8199,null,"Rx Specialty (Mail):",8199,8199,8199,8199,8199,8199,null,"Rx Specialty (Mail):",8199,8199,8199,8199,8199,8199,null,"Rx Specialty (Mail):",8199,8199,8199,8199,8199,8199,null,"Rx Specialty (Mail):",8199,8199,8199,8199,8199,8199]
[]
["Copayments:",null,null,null,null,null,null,null,"Copayments:",null,null,null,null,null,null,null,"Copayments:",null,null,null,null,null,null,null,"Copayments:",null,null,null,null,null,null,null,"Copayments:",null,null,null,null,null,null,null,"Copayments:"]
["Preventive Visit:",{"$f":"B45*B26","v":0},{"$f":"C45*C26","v":0},0,0,0,0,null,"Preventive Visit:",{"$f":"J45*J26","v":0},{"$f":"K45*K26","v":0},0,0,0,0,null,"Preventive Visit:",{"$f":"R45*R26","v":0},{"$f":"S45*S26","v":0},0,0,0,0,null,"Preventive Visit:",{"$f":"Z45*Z26","v":0},{"$f":"AA45*AA26","v":0},0,0,0,0,null,"Preventive Visit:",{"$f":"AH45*AH26","v":0},{"$f":"AI45*AI26","v":0},0,0,0,0,null,"Preventive Visit:",{"$f":"AP45*AP26","v":0},{"$f":"AQ45*AQ26","v":0},0,0,0,0]
["Hospitalization:",{"$f":"B46*B27","v":0},{"$f":"C46*C27","v":0},0,0,0,0,null,"Hospitalization:",{"$f":"J46*J27","v":0},0,0,0,0,0,null,"Hospitalization:",{"$f":"R46*R27","v":0},0,0,0,0,0,null,"Hospitalization:",{"$f":"Z46*Z27","v":0},0,0,0,0,0,null,"Hospitalization:",{"$f":"AH46*AH27","v":0},0,0,0,0,0,null,"Hospitalization:",{"$f":"AP46*AP27","v":0},0,0,0,0,0]
["Outpatient Service:",0,{"$f":"C47*C28","v":0},0,0,0,0,null,"Outpatient Service:",0,0,0,0,0,0,null,"Outpatient Service:",{"$f":"R47*R28","v":0},0,0,0,0,0,null,"Outpatient Service:",{"$f":"Z47*Z28","v":0},0,0,0,0,0,null,"Outpatient Service:",{"$f":"AH47*AH28","v":0},0,0,0,0,0,null,"Outpatient Service:",{"$f":"AP47*AP28","v":0},0,0,0,0,0]
["Lab/X-Ray/Radiology Service:",0,{"$f":"C48*C29","v":0},0,0,0,0,null,"Lab/X-Ray/Radiology Service:",0,0,0,0,0,0,null,"Lab/X-Ray/Radiology Service:",{"$f":"R48*R29","v":0},0,0,0,0,0,null,"Lab/X-Ray/Radiology Service:",{"$f":"Z48*Z29","v":0},0,0,0,0,0,null,"Lab/X-Ray/Radiology Service:",{"$f":"AH48*AH29","v":0},0,0,0,0,0,null,"Lab/X-Ray/Radiology Service:",{"$f":"AP48*AP29","v":0},0,0,0,0,0]
["Emergency Room Visit:",0,{"$f":"C49*C30","v":0},0,0,0,0,null,"Emergency Room Visit:",0,0,0,0,0,0,null,"Emergency Room Visit:",{"$f":"R49*R30","v":0},0,0,0,0,0,null,"Emergency Room Visit:",{"$f":"Z49*Z30","v":0},0,0,0,0,0,null,"Emergency Room Visit:",{"$f":"AH49*AH30","v":0},0,0,0,0,0,null,"Emergency Room Visit:",{"$f":"AP49*AP30","v":0},0,0,0,0,0]
["Urgent Care Visit:",0,{"$f":"C50*C31","v":0},0,0,0,0,null,"Urgent Care Visit:",0,0,0,0,0,0,null,"Urgent Care Visit:",{"$f":"R50*R31","v":0},0,0,0,0,0,null,"Urgent Care Visit:",{"$f":"Z50*Z31","v":0},0,0,0,0,0,null,"Urgent Care Visit:",{"$f":"AH50*AH31","v":0},0,0,0,0,0,null,"Urgent Care Visit:",{"$f":"AP50*AP31","v":0},0,0,0,0,0]
["PCP Office Visit:",0,{"$f":"C51*C32","v":0},0,0,0,0,null,"PCP Office Visit:",0,0,0,0,0,0,null,"PCP Office Visit:",{"$f":"R51*R32","v":0},0,0,0,0,0,null,"PCP Office Visit:",{"$f":"Z51*Z32","v":0},0,0,0,0,0,null,"PCP Office Visit:",{"$f":"AH51*AH32","v":0},0,0,0,0,0,null,"PCP Office Visit:",{"$f":"AP51*AP32","v":0},0,0,0,0,0]
["Specialist Office Visit:",0,{"$f":"C52*C33","v":0},0,0,0,0,null,"Specialist Office Visit:",0,0,0,0,0,0,null,"Specialist Office Visit:",{"$f":"R52*R33","v":0},0,0,0,0,0,null,"Specialist Office Visit:",{"$f":"Z52*Z33","v":0},0,0,0,0,0,null,"Specialist Office Visit:",{"$f":"AH52*AH33","v":0},0,0,0,0,0,null,"Specialist Office Visit:",{"$f":"AP52*AP33","v":0},0,0,0,0,0]
["Chiropractor Visit:",0,{"$f":"C53*C34","v":0},0,0,0,0,null,"Chiropractor Visit:",0,0,0,0,0,0,null,"Chiropractor Visit:",{"$f":"R53*R34","v":0},0,0,0,0,0,null,"Chiropractor Visit:",{"$f":"Z53*Z34","v":0},0,0,0,0,0,null,"Chiropractor Visit:",{"$f":"AH53*AH34","v":0},0,0,0,0,0,null,"Chiropractor Visit:",{"$f":"AP53*AP34","v":0},0,0,0,0,0]
["Rx Generic (Retail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B54*B73*$B158)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C54*C73*$B158)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D54*D73*$B158)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E54*E73*$B158)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F54*F73*$B158)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G54*G73*$B158)","v":0},null,"Rx Generic (Retail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J54*J73*$J158)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K54*K73*$J158)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L54*L73*$J158)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M54*M73*$J158)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N54*N73*$J158)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O54*O73*$J158)","v":0},null,"Rx Generic (Retail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R54*R73*$R158)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S54*S73*$R158)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T54*T73*$R158)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U54*U73*$R158)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V54*V73*$R158)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W54*W73*$R158)","v":0},null,"Rx Generic (Retail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z54*Z73*$Z158)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA54*AA73*$Z158)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB54*AB73*$Z158)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC54*AC73*$Z158)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD54*AD73*$Z158)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE54*AE73*$Z158)","v":0},null,"Rx Generic (Retail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH54*AH73*$AH158)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI54*AI73*$AH158)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ54*AJ73*$AH158)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK54*AK73*$AH158)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL54*AL73*$AH158)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM54*AM73*$AH158)","v":0},null,"Rx Generic (Retail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP54*AP73*$AP158)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ54*AQ73*$AP158)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR54*AR73*$AP158)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS54*AS73*$AP158)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT54*AT73*$AP158)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU54*AU73*$AP158)","v":0}]
["Rx Brand Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B55*B74*$B159)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C55*C74*$B159)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D55*D74*$B159)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E55*E74*$B159)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F55*F74*$B159)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G55*G74*$B159)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J55*J74*$J159)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K55*K74*$J159)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L55*L74*$J159)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M55*M74*$J159)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N55*N74*$J159)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O55*O74*$J159)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R55*R74*$R159)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S55*S74*$R159)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T55*T74*$R159)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U55*U74*$R159)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V55*V74*$R159)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W55*W74*$R159)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z55*Z74*$Z159)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA55*AA74*$Z159)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB55*AB74*$Z159)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC55*AC74*$Z159)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD55*AD74*$Z159)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE55*AE74*$Z159)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH55*AH74*$AH159)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI55*AI74*$AH159)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ55*AJ74*$AH159)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK55*AK74*$AH159)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL55*AL74*$AH159)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM55*AM74*$AH159)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP55*AP74*$AP159)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ55*AQ74*$AP159)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR55*AR74*$AP159)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS55*AS74*$AP159)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT55*AT74*$AP159)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU55*AU74*$AP159)","v":0}]
["Rx Brand Non-Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B56*B75*$B160)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C56*C75*$B160)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D56*D75*$B160)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E56*E75*$B160)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F56*F75*$B160)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G56*G75*$B160)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J56*J75*$J160)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K56*K75*$J160)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L56*L75*$J160)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M56*M75*$J160)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N56*N75*$J160)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O56*O75*$J160)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R56*R75*$R160)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S56*S75*$R160)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T56*T75*$R160)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U56*U75*$R160)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V56*V75*$R160)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W56*W75*$R160)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z56*Z75*$Z160)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA56*AA75*$Z160)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB56*AB75*$Z160)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC56*AC75*$Z160)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD56*AD75*$Z160)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE56*AE75*$Z160)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH56*AH75*$AH160)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI56*AI75*$AH160)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ56*AJ75*$AH160)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK56*AK75*$AH160)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL56*AL75*$AH160)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM56*AM75*$AH160)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP56*AP75*$AP160)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ56*AQ75*$AP160)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR56*AR75*$AP160)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS56*AS75*$AP160)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT56*AT75*$AP160)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU56*AU75*$AP160)","v":0}]
["Rx Specialty (Retail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B57*B76*$B161)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C57*C76*$B161)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D57*D76*$B161)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E57*E76*$B161)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F57*F76*$B161)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G57*G76*$B161)","v":0},null,"Rx Specialty (Retail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J57*J76*$J161)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K57*K76*$J161)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L57*L76*$J161)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M57*M76*$J161)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N57*N76*$J161)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O57*O76*$J161)","v":0},null,"Rx Specialty (Retail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R57*R76*$R161)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S57*S76*$R161)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T57*T76*$R161)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U57*U76*$R161)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V57*V76*$R161)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W57*W76*$R161)","v":0},null,"Rx Specialty (Retail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z57*Z76*$Z161)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA57*AA76*$Z161)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB57*AB76*$Z161)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC57*AC76*$Z161)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD57*AD76*$Z161)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE57*AE76*$Z161)","v":0},null,"Rx Specialty (Retail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH57*AH76*$AH161)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI57*AI76*$AH161)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ57*AJ76*$AH161)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK57*AK76*$AH161)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL57*AL76*$AH161)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM57*AM76*$AH161)","v":0},null,"Rx Specialty (Retail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP57*AP76*$AP161)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ57*AQ76*$AP161)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR57*AR76*$AP161)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS57*AS76*$AP161)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT57*AT76*$AP161)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU57*AU76*$AP161)","v":0}]
["Rx Generic (Mail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B58*B77*$B162)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C58*C77*$B162)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D58*D77*$B162)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E58*E77*$B162)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F58*F77*$B162)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G58*G77*$B162)","v":0},null,"Rx Generic (Mail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J58*J77*$J162)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K58*K77*$J162)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L58*L77*$J162)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M58*M77*$J162)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N58*N77*$J162)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O58*O77*$J162)","v":0},null,"Rx Generic (Mail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R58*R77*$R162)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S58*S77*$R162)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T58*T77*$R162)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U58*U77*$R162)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V58*V77*$R162)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W58*W77*$R162)","v":0},null,"Rx Generic (Mail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z58*Z77*$Z162)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA58*AA77*$Z162)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB58*AB77*$Z162)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC58*AC77*$Z162)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD58*AD77*$Z162)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE58*AE77*$Z162)","v":0},null,"Rx Generic (Mail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH58*AH77*$AH162)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI58*AI77*$AH162)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ58*AJ77*$AH162)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK58*AK77*$AH162)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL58*AL77*$AH162)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM58*AM77*$AH162)","v":0},null,"Rx Generic (Mail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP58*AP77*$AP162)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ58*AQ77*$AP162)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR58*AR77*$AP162)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS58*AS77*$AP162)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT58*AT77*$AP162)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU58*AU77*$AP162)","v":0}]
["Rx Brand Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B59*B78*$B163)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C59*C78*$B163)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D59*D78*$B163)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E59*E78*$B163)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F59*F78*$B163)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G59*G78*$B163)","v":0},null,"Rx Brand Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J59*J78*$J163)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K59*K78*$J163)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L59*L78*$J163)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M59*M78*$J163)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N59*N78*$J163)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O59*O78*$J163)","v":0},null,"Rx Brand Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R59*R78*$R163)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S59*S78*$R163)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T59*T78*$R163)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U59*U78*$R163)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V59*V78*$R163)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W59*W78*$R163)","v":0},null,"Rx Brand Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z59*Z78*$Z163)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA59*AA78*$Z163)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB59*AB78*$Z163)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC59*AC78*$Z163)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD59*AD78*$Z163)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE59*AE78*$Z163)","v":0},null,"Rx Brand Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH59*AH78*$AH163)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI59*AI78*$AH163)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ59*AJ78*$AH163)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK59*AK78*$AH163)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL59*AL78*$AH163)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM59*AM78*$AH163)","v":0},null,"Rx Brand Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP59*AP78*$AP163)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ59*AQ78*$AP163)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR59*AR78*$AP163)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS59*AS78*$AP163)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT59*AT78*$AP163)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU59*AU78*$AP163)","v":0}]
["Rx Brand Non-Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B60*B79*$B164)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C60*C79*$B164)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D60*D79*$B164)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E60*E79*$B164)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F60*F79*$B164)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G60*G79*$B164)","v":0},null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J60*J79*$J164)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K60*K79*$J164)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L60*L79*$J164)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M60*M79*$J164)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N60*N79*$J164)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O60*O79*$J164)","v":0},null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R60*R79*$R164)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S60*S79*$R164)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T60*T79*$R164)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U60*U79*$R164)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V60*V79*$R164)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W60*W79*$R164)","v":0},null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z60*Z79*$Z164)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA60*AA79*$Z164)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB60*AB79*$Z164)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC60*AC79*$Z164)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD60*AD79*$Z164)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE60*AE79*$Z164)","v":0},null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH60*AH79*$AH164)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI60*AI79*$AH164)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ60*AJ79*$AH164)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK60*AK79*$AH164)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL60*AL79*$AH164)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM60*AM79*$AH164)","v":0},null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP60*AP79*$AP164)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ60*AQ79*$AP164)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR60*AR79*$AP164)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS60*AS79*$AP164)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT60*AT79*$AP164)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU60*AU79*$AP164)","v":0}]
["Rx Specialty (Mail):",{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,B61*B80*$B165)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,C61*C80*$B165)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,D61*D80*$B165)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,E61*E80*$B165)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,F61*F80*$B165)","v":0},{"$f":"IF('1. Plan Inputs'!$G$50=\"Yes\",0,G61*G80*$B165)","v":0},null,"Rx Specialty (Mail):",{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,J61*J80*$J165)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,K61*K80*$J165)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,L61*L80*$J165)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,M61*M80*$J165)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,N61*N80*$J165)","v":0},{"$f":"IF('1. Plan Inputs'!$J$50=\"Yes\",0,O61*O80*$J165)","v":0},null,"Rx Specialty (Mail):",{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,R61*R80*$R165)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,S61*S80*$R165)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,T61*T80*$R165)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,U61*U80*$R165)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,V61*V80*$R165)","v":0},{"$f":"IF('1. Plan Inputs'!$M$50=\"Yes\",0,W61*W80*$R165)","v":0},null,"Rx Specialty (Mail):",{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,Z61*Z80*$Z165)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AA61*AA80*$Z165)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AB61*AB80*$Z165)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AC61*AC80*$Z165)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AD61*AD80*$Z165)","v":0},{"$f":"IF('1. Plan Inputs'!$P$50=\"Yes\",0,AE61*AE80*$Z165)","v":0},null,"Rx Specialty (Mail):",{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AH61*AH80*$AH165)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AI61*AI80*$AH165)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AJ61*AJ80*$AH165)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AK61*AK80*$AH165)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AL61*AL80*$AH165)","v":0},{"$f":"IF('1. Plan Inputs'!$S$50=\"Yes\",0,AM61*AM80*$AH165)","v":0},null,"Rx Specialty (Mail):",{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AP61*AP80*$AP165)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AQ61*AQ80*$AP165)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AR61*AR80*$AP165)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AS61*AS80*$AP165)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AT61*AT80*$AP165)","v":0},{"$f":"IF('1. Plan Inputs'!$V$50=\"Yes\",0,AU61*AU80*$AP165)","v":0}]
[]
["Applies Towards Deductible and Coinsurance:",null,null,null,null,null,null,null,"Applies Towards Deductible and Coinsurance:",null,null,null,null,null,null,null,"Applies Towards Deductible and Coinsurance:",null,null,null,null,null,null,null,"Applies Towards Deductible and Coinsurance:",null,null,null,null,null,null,null,"Applies Towards Deductible and Coinsurance:",null,null,null,null,null,null,null,"Applies Towards Deductible and Coinsurance:"]
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["Rx Brand Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!B74*Worksheet!B55,0)-B93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!C74*Worksheet!C55,0)-C93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!D74*Worksheet!D55,0)-D93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!E74*Worksheet!E55,0)-E93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!F74*Worksheet!F55,0)-F93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!G74*Worksheet!G55,0)-G93,0)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!J74*Worksheet!J55,0)-J93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!K74*Worksheet!K55,0)-K93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!L74*Worksheet!L55,0)-L93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!M74*Worksheet!M55,0)-M93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!N74*Worksheet!N55,0)-N93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!O74*Worksheet!O55,0)-O93,0)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!R74*Worksheet!R55,0)-R93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!S74*Worksheet!S55,0)-S93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!T74*Worksheet!T55,0)-T93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!U74*Worksheet!U55,0)-U93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!V74*Worksheet!V55,0)-V93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!W74*Worksheet!W55,0)-W93,0)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!Z74*Worksheet!Z55,0)-Z93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AA74*Worksheet!AA55,0)-AA93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AB74*Worksheet!AB55,0)-AB93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AC74*Worksheet!AC55,0)-AC93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AD74*Worksheet!AD55,0)-AD93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AE74*Worksheet!AE55,0)-AE93,0)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AH74*Worksheet!AH55,0)-AH93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AI74*Worksheet!AI55,0)-AI93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AJ74*Worksheet!AJ55,0)-AJ93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AK74*Worksheet!AK55,0)-AK93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AL74*Worksheet!AL55,0)-AL93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AM74*Worksheet!AM55,0)-AM93,0)","v":0},null,"Rx Brand Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AP74*Worksheet!AP55,0)-AP93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AQ74*Worksheet!AQ55,0)-AQ93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AR74*Worksheet!AR55,0)-AR93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AS74*Worksheet!AS55,0)-AS93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AT74*Worksheet!AT55,0)-AT93,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AU74*Worksheet!AU55,0)-AU93,0)","v":0}]
["Rx Brand Non-Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!B75*Worksheet!B56,0)-B94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!C75*Worksheet!C56,0)-C94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!D75*Worksheet!D56,0)-D94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!E75*Worksheet!E56,0)-E94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!F75*Worksheet!F56,0)-F94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$G$50=\"Yes\",Worksheet!G75*Worksheet!G56,0)-G94,0)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!J75*Worksheet!J56,0)-J94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!K75*Worksheet!K56,0)-K94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!L75*Worksheet!L56,0)-L94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!M75*Worksheet!M56,0)-M94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!N75*Worksheet!N56,0)-N94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$J$50=\"Yes\",Worksheet!O75*Worksheet!O56,0)-O94,0)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!R75*Worksheet!R56,0)-R94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!S75*Worksheet!S56,0)-S94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!T75*Worksheet!T56,0)-T94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!U75*Worksheet!U56,0)-U94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!V75*Worksheet!V56,0)-V94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$M$50=\"Yes\",Worksheet!W75*Worksheet!W56,0)-W94,0)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!Z75*Worksheet!Z56,0)-Z94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AA75*Worksheet!AA56,0)-AA94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AB75*Worksheet!AB56,0)-AB94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AC75*Worksheet!AC56,0)-AC94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AD75*Worksheet!AD56,0)-AD94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$P$50=\"Yes\",Worksheet!AE75*Worksheet!AE56,0)-AE94,0)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AH75*Worksheet!AH56,0)-AH94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AI75*Worksheet!AI56,0)-AI94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AJ75*Worksheet!AJ56,0)-AJ94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AK75*Worksheet!AK56,0)-AK94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AL75*Worksheet!AL56,0)-AL94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$S$50=\"Yes\",Worksheet!AM75*Worksheet!AM56,0)-AM94,0)","v":0},null,"Rx Brand Non-Formulary (Retail):",{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AP75*Worksheet!AP56,0)-AP94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AQ75*Worksheet!AQ56,0)-AQ94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AR75*Worksheet!AR56,0)-AR94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AS75*Worksheet!AS56,0)-AS94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AT75*Worksheet!AT56,0)-AT94,0)","v":0},{"$f":"MAX(IF('1. Plan Inputs'!$V$50=\"Yes\",Worksheet!AU75*Worksheet!AU56,0)-AU94,0)","v":0}]
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[]
[]
["Other Expenses:",{"$f":"Calculator!C39","v":0},{"$f":"Calculator!D39","v":0},{"$f":"Calculator!E39","v":0},{"$f":"Calculator!F39","v":0},{"$f":"Calculator!G39","v":0},{"$f":"Calculator!H39","v":0},null,"Other Expenses:",{"$f":"Calculator!C39","v":0},{"$f":"Calculator!D39","v":0},{"$f":"Calculator!E39","v":0},{"$f":"Calculator!F39","v":0},{"$f":"Calculator!G39","v":0},{"$f":"Calculator!H39","v":0},null,"Other Expenses:",{"$f":"Calculator!C39","v":0},{"$f":"Calculator!D39","v":0},{"$f":"Calculator!E39","v":0},{"$f":"Calculator!F39","v":0},{"$f":"Calculator!G39","v":0},{"$f":"Calculator!H39","v":0},null,"Other Expenses:",{"$f":"Calculator!C39","v":0},{"$f":"Calculator!D39","v":0},{"$f":"Calculator!E39","v":0},{"$f":"Calculator!F39","v":0},{"$f":"Calculator!G39","v":0},{"$f":"Calculator!H39","v":0},null,"Other Expenses:",{"$f":"Calculator!C39","v":0},{"$f":"Calculator!D39","v":0},{"$f":"Calculator!E39","v":0},{"$f":"Calculator!F39","v":0},{"$f":"Calculator!G39","v":0},{"$f":"Calculator!H39","v":0},null,"Other Expenses:",{"$f":"Calculator!C39","v":0},{"$f":"Calculator!D39","v":0},{"$f":"Calculator!E39","v":0},{"$f":"Calculator!F39","v":0},{"$f":"Calculator!G39","v":0},{"$f":"Calculator!H39","v":0}]
[]
["Individual Medical Copayments:",{"$f":"SUM(B83:B91)","v":0},{"$f":"SUM(C83:C91)","v":0},0,0,0,0,null,"Individual Medical Copayments:",{"$f":"SUM(J83:J91)","v":0},{"$f":"SUM(K83:K91)","v":0},{"$f":"SUM(L83:L91)","v":0},0,0,{"$f":"SUM(O83:O91)","v":0},null,"Individual Medical Copayments:",{"$f":"SUM(R83:R91)","v":0},{"$f":"SUM(S83:S91)","v":0},{"$f":"SUM(T83:T91)","v":0},0,0,{"$f":"SUM(W83:W91)","v":0},null,"Individual Medical Copayments:",{"$f":"SUM(Z83:Z91)","v":0},{"$f":"SUM(AA83:AA91)","v":0},{"$f":"SUM(AB83:AB91)","v":0},0,0,{"$f":"SUM(AE83:AE91)","v":0},null,"Individual Medical Copayments:",{"$f":"SUM(AH83:AH91)","v":0},{"$f":"SUM(AI83:AI91)","v":0},{"$f":"SUM(AJ83:AJ91)","v":0},0,0,{"$f":"SUM(AM83:AM91)","v":0},null,"Individual Medical Copayments:",{"$f":"SUM(AP83:AP91)","v":0},{"$f":"SUM(AQ83:AQ91)","v":0},{"$f":"SUM(AR83:AR91)","v":0},0,0,{"$f":"SUM(AU83:AU91)","v":0}]
[]
["Family Medical Copayments:",{"$f":"B123","v":0},{"$f":"C123+B125","v":0},{"$f":"D123+C125","v":0},{"$f":"E123+D125","v":0},{"$f":"F123+E125","v":0},{"$f":"G123+F125","v":0},null,"Family Medical Copayments:",{"$f":"J123","v":0},{"$f":"K123+J125","v":0},{"$f":"L123+K125","v":0},{"$f":"M123+L125","v":0},{"$f":"N123+M125","v":0},{"$f":"O123+N125","v":0},null,"Family Medical Copayments:",{"$f":"R123","v":0},{"$f":"S123+R125","v":0},{"$f":"T123+S125","v":0},{"$f":"U123+T125","v":0},{"$f":"V123+U125","v":0},{"$f":"W123+V125","v":0},null,"Family Medical Copayments:",{"$f":"Z123","v":0},{"$f":"AA123+Z125","v":0},{"$f":"AB123+AA125","v":0},{"$f":"AC123+AB125","v":0},{"$f":"AD123+AC125","v":0},{"$f":"AE123+AD125","v":0},null,"Family Medical Copayments:",{"$f":"AH123","v":0},{"$f":"AI123+AH125","v":0},{"$f":"AJ123+AI125","v":0},{"$f":"AK123+AJ125","v":0},{"$f":"AL123+AK125","v":0},{"$f":"AM123+AL125","v":0},null,"Family Medical Copayments:",{"$f":"AP123","v":0},{"$f":"AQ123+AP125","v":0},{"$f":"AR123+AQ125","v":0},{"$f":"AS123+AR125","v":0},{"$f":"AT123+AS125","v":0},{"$f":"AU123+AT125","v":0}]
[]
["Individual Rx Copayments:",{"$f":"SUM(B92:B99)","v":0},{"$f":"SUM(C92:C99)","v":0},0,0,0,0,null,"Individual Rx Copayments:",{"$f":"SUM(J92:J99)","v":0},{"$f":"SUM(K92:K99)","v":0},0,0,0,0,null,"Individual Rx Copayments:",{"$f":"SUM(R92:R99)","v":0},{"$f":"SUM(S92:S99)","v":0},0,0,0,{"$f":"SUM(W92:W99)","v":0},null,"Individual Rx Copayments:",{"$f":"SUM(Z92:Z99)","v":0},{"$f":"SUM(AA92:AA99)","v":0},0,0,0,{"$f":"SUM(AE92:AE99)","v":0},null,"Individual Rx Copayments:",{"$f":"SUM(AH92:AH99)","v":0},{"$f":"SUM(AI92:AI99)","v":0},0,0,0,{"$f":"SUM(AM92:AM99)","v":0},null,"Individual Rx Copayments:",{"$f":"SUM(AP92:AP99)","v":0},{"$f":"SUM(AQ92:AQ99)","v":0},0,0,0,{"$f":"SUM(AU92:AU99)","v":0}]
[]
["Family Rx Copayments:",{"$f":"B127","v":0},{"$f":"C127+B129","v":0},{"$f":"D127+C129","v":0},0,0,0,null,"Family Rx Copayments:",{"$f":"J127","v":0},{"$f":"K127+J129","v":0},{"$f":"L127+K129","v":0},{"$f":"M127+L129","v":0},{"$f":"N127+M129","v":0},{"$f":"O127+N129","v":0},null,"Family Rx Copayments:",{"$f":"R127","v":0},{"$f":"S127+R129","v":0},{"$f":"T127+S129","v":0},{"$f":"U127+T129","v":0},{"$f":"V127+U129","v":0},{"$f":"W127+V129","v":0},null,"Family Rx Copayments:",{"$f":"Z127","v":0},{"$f":"AA127+Z129","v":0},{"$f":"AB127+AA129","v":0},{"$f":"AC127+AB129","v":0},{"$f":"AD127+AC129","v":0},{"$f":"AE127+AD129","v":0},null,"Family Rx Copayments:",{"$f":"AH127","v":0},{"$f":"AI127+AH129","v":0},{"$f":"AJ127+AI129","v":0},{"$f":"AK127+AJ129","v":0},{"$f":"AL127+AK129","v":0},{"$f":"AM127+AL129","v":0},null,"Family Rx Copayments:",{"$f":"AP127","v":0},{"$f":"AQ127+AP129","v":0},{"$f":"AR127+AQ129","v":0},{"$f":"AS127+AR129","v":0},{"$f":"AT127+AS129","v":0},{"$f":"AU127+AT129","v":0}]
[]
["Individual Applicable Total:",{"$f":"SUM(B102:B118,B121)","v":0},{"$f":"SUM(C102:C118,C121)","v":0},0,0,0,0,null,"Individual Applicable Total:",{"$f":"SUM(J102:J118,J121)","v":0},{"$f":"SUM(K102:K118,K121)","v":0},0,0,0,0,null,"Individual Applicable Total:",{"$f":"SUM(R102:R118,R121)","v":0},{"$f":"SUM(S102:S118,S121)","v":0},0,0,0,0,null,"Individual Applicable Total:",{"$f":"SUM(Z102:Z118,Z121)","v":0},{"$f":"SUM(AA102:AA118,AA121)","v":0},0,0,0,0,null,"Individual Applicable Total:",{"$f":"SUM(AH102:AH118,AH121)","v":0},{"$f":"SUM(AI102:AI118,AI121)","v":0},0,0,0,0,null,"Individual Applicable Total:",{"$f":"SUM(AP102:AP118,AP121)","v":0},{"$f":"SUM(AQ102:AQ118,AQ121)","v":0},0,0,0,0]
[]
["Family Applicable Total:",{"$f":"B131","v":0},{"$f":"B133+C131","v":0},{"$f":"D131+C133","v":0},{"$f":"E131+D133","v":0},{"$f":"F131+E133","v":0},{"$f":"G131+F133","v":0},null,"Family Applicable Total:",{"$f":"J131","v":0},{"$f":"J133+K131","v":0},{"$f":"L131+K133","v":0},{"$f":"M131+L133","v":0},{"$f":"N131+M133","v":0},{"$f":"O131+N133","v":0},null,"Family Applicable Total:",{"$f":"R131","v":0},{"$f":"R133+S131","v":0},{"$f":"T131+S133","v":0},{"$f":"U131+T133","v":0},{"$f":"V131+U133","v":0},{"$f":"W131+V133","v":0},null,"Family Applicable Total:",{"$f":"Z131","v":0},{"$f":"Z133+AA131","v":0},{"$f":"AB131+AA133","v":0},{"$f":"AC131+AB133","v":0},{"$f":"AD131+AC133","v":0},{"$f":"AE131+AD133","v":0},null,"Family Applicable Total:",{"$f":"AH131","v":0},{"$f":"AH133+AI131","v":0},{"$f":"AJ131+AI133","v":0},{"$f":"AK131+AJ133","v":0},{"$f":"AL131+AK133","v":0},{"$f":"AM131+AL133","v":0},null,"Family Applicable Total:",{"$f":"AP131","v":0},{"$f":"AP133+AQ131","v":0},{"$f":"AR131+AQ133","v":0},{"$f":"AS131+AR133","v":0},{"$f":"AT131+AS133","v":0},{"$f":"AU131+AT133","v":0}]
[]
["Embedded Calculation:",null,null,null,null,null,null,null,"Embedded Calculation:",null,null,null,null,null,null,null,"Embedded Calculation:",null,null,null,null,null,null,null,"Embedded Calculation:",null,null,null,null,null,null,null,"Embedded Calculation:",null,null,null,null,null,null,null,"Embedded Calculation:"]
[null,"Applicable","Deductible","Apply to Coins","Apply to OOP","OOP Max",null,null,null,"Applicable","Deductible","Apply to Coins","Apply to OOP","OOP Max",null,null,null,"Applicable","Deductible","Apply to Coins","Apply to OOP","OOP Max",null,null,null,"Applicable","Deductible","Apply to Coins","Apply to OOP","OOP Max",null,null,null,"Applicable","Deductible","Apply to Coins","Apply to OOP","OOP Max",null,null,null,"Applicable","Deductible","Apply to Coins","Apply to OOP","OOP Max"]
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Plan Inputs'!S48=\"Yes\",0,AJ153*SUMPRODUCT(AM111:AM118,AH158:AH165/SUM(AM102:AM121))),0)","v":0},null,null,"Total",{"$f":"SUM(AP148:AP153)","v":0},{"$f":"SUM(AQ148:AQ153)","v":0},{"$f":"SUM(AR148:AR153)","v":0},{"$f":"SUM(AS148:AS153)","v":0},{"$f":"SUM(AT148:AT153)+IF('1. Plan Inputs'!V46=\"Yes\",0,SUM(Worksheet!AP123:AU123))+IF('1. Plan Inputs'!V48=\"Yes\",0,SUM(Worksheet!AP127:AU127))+IFERROR(IF('1. Plan Inputs'!V48=\"Yes\",0,AR148*SUMPRODUCT(AP111:AP118,AP158:AP165/SUM(AP102:AP121))),0)+IFERROR(IF('1. Plan Inputs'!V48=\"Yes\",0,AR149*SUMPRODUCT(AQ111:AQ118,AP158:AP165/SUM(AQ102:AQ121))),0)+IFERROR(IF('1. Plan Inputs'!V48=\"Yes\",0,AR150*SUMPRODUCT(AR111:AR118,AP158:AP165/SUM(AR102:AR121))),0)+IFERROR(IF('1. Plan Inputs'!V48=\"Yes\",0,AR151*SUMPRODUCT(AS111:AS118,AP158:AP165/SUM(AS102:AS121))),0)+IFERROR(IF('1. Plan Inputs'!V48=\"Yes\",0,AR152*SUMPRODUCT(AT111:AT118,AP158:AP165/SUM(AT102:AT121))),0)+IFERROR(IF('1. Plan Inputs'!V48=\"Yes\",0,AR153*SUMPRODUCT(AU111:AU118,AP158:AP165/SUM(AU102:AU121))),0)","v":0}]
[]
[]
["Rx Coinsurance / Coinsurance Equivalent:",null,null,null,null,null,null,null,"Rx Coinsurance / Coinsurance Equivalent:",null,null,null,null,null,null,null,"Rx Coinsurance / Coinsurance Equivalent:",null,null,null,null,null,null,null,"Rx Coinsurance / Coinsurance Equivalent:",null,null,null,null,null,null,null,"Rx Coinsurance / Coinsurance Equivalent:",null,null,null,null,null,null,null,"Rx Coinsurance / Coinsurance Equivalent:"]
["Rx Generic (Retail):",{"$f":"IF(OR('1. Plan Inputs'!F53=0,'1. Plan Inputs'!F53=\"\"),'1. Plan Inputs'!G53,B35/B73)","v":0.32258064516129031},null,null,null,null,null,null,"Rx Generic (Retail):",{"$f":"IF(OR('1. Plan Inputs'!I53=0,'1. Plan Inputs'!I53=\"\"),'1. Plan Inputs'!J53,J35/J73)","v":0.32258064516129031},null,null,null,null,null,null,"Rx Generic (Retail):",{"$f":"IF(OR('1. Plan Inputs'!L53=0,'1. Plan Inputs'!L53=\"\"),'1. Plan Inputs'!M53,R35/R73)","v":0.32258064516129031},null,null,null,null,null,null,"Rx Generic (Retail):",{"$f":"IF(OR('1. Plan Inputs'!O53=0,'1. Plan Inputs'!O53=\"\"),'1. Plan Inputs'!P53,Z35/Z73)","v":0},null,null,null,null,null,null,"Rx Generic (Retail):",{"$f":"IF(OR('1. Plan Inputs'!R53=0,'1. Plan Inputs'!R53=\"\"),'1. Plan Inputs'!S53,AH35/AH73)","v":0},null,null,null,null,null,null,"Rx Generic (Retail):",{"$f":"IF(OR('1. Plan Inputs'!U53=0,'1. Plan Inputs'!U53=\"\"),'1. Plan Inputs'!V53,AP35/AP73)","v":0}]
["Rx Brand Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!F54=0,'1. Plan Inputs'!F54=\"\"),'1. Plan Inputs'!G54,B36/B74)","v":0.11986301369863013},null,null,null,null,null,null,"Rx Brand Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!I54=0,'1. Plan Inputs'!I54=\"\"),'1. Plan Inputs'!J54,J36/J74)","v":0.11986301369863013},null,null,null,null,null,null,"Rx Brand Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!L54=0,'1. Plan Inputs'!L54=\"\"),'1. Plan Inputs'!M54,R36/R74)","v":0.11986301369863013},null,null,null,null,null,null,"Rx Brand Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!O54=0,'1. Plan Inputs'!O54=\"\"),'1. Plan Inputs'!P54,Z36/Z74)","v":0},null,null,null,null,null,null,"Rx Brand Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!R54=0,'1. Plan Inputs'!R54=\"\"),'1. Plan Inputs'!S54,AH36/AH74)","v":0},null,null,null,null,null,null,"Rx Brand Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!U54=0,'1. Plan Inputs'!U54=\"\"),'1. Plan Inputs'!V54,AP36/AP74)","v":0}]
["Rx Brand Non-Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!F55=0,'1. Plan Inputs'!F55=\"\"),'1. Plan Inputs'!G55,B37/B75)","v":0.20547945205479451},null,null,null,null,null,null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!I55=0,'1. Plan Inputs'!I55=\"\"),'1. Plan Inputs'!J55,J37/J75)","v":0.20547945205479451},null,null,null,null,null,null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!L55=0,'1. Plan Inputs'!L55=\"\"),'1. Plan Inputs'!M55,R37/R75)","v":0.20547945205479451},null,null,null,null,null,null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!O55=0,'1. Plan Inputs'!O55=\"\"),'1. Plan Inputs'!P55,Z37/Z75)","v":0},null,null,null,null,null,null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!R55=0,'1. Plan Inputs'!R55=\"\"),'1. Plan Inputs'!S55,AH37/AH75)","v":0},null,null,null,null,null,null,"Rx Brand Non-Formulary (Retail):",{"$f":"IF(OR('1. Plan Inputs'!U55=0,'1. Plan Inputs'!U55=\"\"),'1. Plan Inputs'!V55,AP37/AP75)","v":0}]
["Rx Specialty (Retail):",{"$f":"IF(OR('1. Plan Inputs'!F56=0,'1. Plan Inputs'!F56=\"\"),'1. Plan Inputs'!G56,B38/B76)","v":2.1953896816684963E-2},null,null,null,null,null,null,"Rx Specialty (Retail):",{"$f":"IF(OR('1. Plan Inputs'!I56=0,'1. Plan Inputs'!I56=\"\"),'1. Plan Inputs'!J56,J38/J76)","v":2.1953896816684963E-2},null,null,null,null,null,null,"Rx Specialty (Retail):",{"$f":"IF(OR('1. Plan Inputs'!L56=0,'1. Plan Inputs'!L56=\"\"),'1. Plan Inputs'!M56,R38/R76)","v":2.1953896816684963E-2},null,null,null,null,null,null,"Rx Specialty (Retail):",{"$f":"IF(OR('1. Plan Inputs'!O56=0,'1. Plan Inputs'!O56=\"\"),'1. Plan Inputs'!P56,Z38/Z76)","v":0},null,null,null,null,null,null,"Rx Specialty (Retail):",{"$f":"IF(OR('1. Plan Inputs'!R56=0,'1. Plan Inputs'!R56=\"\"),'1. Plan Inputs'!S56,AH38/AH76)","v":0},null,null,null,null,null,null,"Rx Specialty (Retail):",{"$f":"IF(OR('1. Plan Inputs'!U56=0,'1. Plan Inputs'!U56=\"\"),'1. Plan Inputs'!V56,AP38/AP76)","v":0}]
["Rx Generic (Mail):",{"$f":"IF(OR('1. Plan Inputs'!F57=0,'1. Plan Inputs'!F57=\"\"),'1. Plan Inputs'!G57,B39/B77)","v":0.21505376344086022},null,null,null,null,null,null,"Rx Generic (Mail):",{"$f":"IF(OR('1. Plan Inputs'!I57=0,'1. Plan Inputs'!I57=\"\"),'1. Plan Inputs'!J57,J39/J77)","v":0.21505376344086022},null,null,null,null,null,null,"Rx Generic (Mail):",{"$f":"IF(OR('1. Plan Inputs'!L57=0,'1. Plan Inputs'!L57=\"\"),'1. Plan Inputs'!M57,R39/R77)","v":0.21505376344086022},null,null,null,null,null,null,"Rx Generic (Mail):",{"$f":"IF(OR('1. Plan Inputs'!O57=0,'1. Plan Inputs'!O57=\"\"),'1. Plan Inputs'!P57,Z39/Z77)","v":0},null,null,null,null,null,null,"Rx Generic (Mail):",{"$f":"IF(OR('1. Plan Inputs'!R57=0,'1. Plan Inputs'!R57=\"\"),'1. Plan Inputs'!S57,AH39/AH77)","v":0},null,null,null,null,null,null,"Rx Generic (Mail):",{"$f":"IF(OR('1. Plan Inputs'!U57=0,'1. Plan Inputs'!U57=\"\"),'1. Plan Inputs'!V57,AP39/AP77)","v":0}]
["Rx Brand Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!F58=0,'1. Plan Inputs'!F58=\"\"),'1. Plan Inputs'!G58,B40/B78)","v":7.9908675799086754E-2},null,null,null,null,null,null,"Rx Brand Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!I58=0,'1. Plan Inputs'!I58=\"\"),'1. Plan Inputs'!J58,J40/J78)","v":7.9908675799086754E-2},null,null,null,null,null,null,"Rx Brand Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!L58=0,'1. Plan Inputs'!L58=\"\"),'1. Plan Inputs'!M58,R40/R78)","v":7.9908675799086754E-2},null,null,null,null,null,null,"Rx Brand Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!O58=0,'1. Plan Inputs'!O58=\"\"),'1. Plan Inputs'!P58,Z40/Z78)","v":0},null,null,null,null,null,null,"Rx Brand Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!R58=0,'1. Plan Inputs'!R58=\"\"),'1. Plan Inputs'!S58,AH40/AH78)","v":0},null,null,null,null,null,null,"Rx Brand Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!U58=0,'1. Plan Inputs'!U58=\"\"),'1. Plan Inputs'!V58,AP40/AP78)","v":0}]
["Rx Brand Non-Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!F59=0,'1. Plan Inputs'!F59=\"\"),'1. Plan Inputs'!G59,B41/B79)","v":0.13698630136986301},null,null,null,null,null,null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!I59=0,'1. Plan Inputs'!I59=\"\"),'1. Plan Inputs'!J59,J41/J79)","v":0.13698630136986301},null,null,null,null,null,null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!L59=0,'1. Plan Inputs'!L59=\"\"),'1. Plan Inputs'!M59,R41/R79)","v":0.13698630136986301},null,null,null,null,null,null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!O59=0,'1. Plan Inputs'!O59=\"\"),'1. Plan Inputs'!P59,Z41/Z79)","v":0},null,null,null,null,null,null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!R59=0,'1. Plan Inputs'!R59=\"\"),'1. Plan Inputs'!S59,AH41/AH79)","v":0},null,null,null,null,null,null,"Rx Brand Non-Formulary (Mail):",{"$f":"IF(OR('1. Plan Inputs'!U59=0,'1. Plan Inputs'!U59=\"\"),'1. Plan Inputs'!V59,AP41/AP79)","v":0}]
["Rx Specialty (Mail):",{"$f":"IF(OR('1. Plan Inputs'!F60=0,'1. Plan Inputs'!F60=\"\"),'1. Plan Inputs'!G60,B42/B80)","v":1.4635931211123308E-2},null,null,null,null,null,null,"Rx Specialty (Mail):",{"$f":"IF(OR('1. Plan Inputs'!I60=0,'1. Plan Inputs'!I60=\"\"),'1. Plan Inputs'!J60,J42/J80)","v":1.4635931211123308E-2},null,null,null,null,null,null,"Rx Specialty (Mail):",{"$f":"IF(OR('1. Plan Inputs'!L60=0,'1. Plan Inputs'!L60=\"\"),'1. Plan Inputs'!M60,R42/R80)","v":1.4635931211123308E-2},null,null,null,null,null,null,"Rx Specialty (Mail):",{"$f":"IF(OR('1. Plan Inputs'!O60=0,'1. Plan Inputs'!O60=\"\"),'1. Plan Inputs'!P60,Z42/Z80)","v":0},null,null,null,null,null,null,"Rx Specialty (Mail):",{"$f":"IF(OR('1. Plan Inputs'!R60=0,'1. Plan Inputs'!R60=\"\"),'1. Plan Inputs'!S60,AH42/AH80)","v":0},null,null,null,null,null,null,"Rx Specialty (Mail):",{"$f":"IF(OR('1. Plan Inputs'!U60=0,'1. Plan Inputs'!U60=\"\"),'1. Plan Inputs'!V60,AP42/AP80)","v":0}]
[]
[null,null,null,null,"Low Adult","Med Adult","High Adult","Low Child","Med Child","High Child"]
["Preventive Services","Annual number of Covered Preventive Visits",null,null,1,1,1,1,1,1]
["Hospitalizations","Annual number of Days in Hospitals",null,null,0,0,{"$f":"1*ROUND(A198,0)","v":0},0,0,{"$f":"1*ROUND(A198,0)","v":0}]
["Outpatient Surgery","Annual number of Outpatient Surgeries",null,null,0,2,5,0,1,2]
["Lab/X-ray/other Radiology Performed in Hospital/Outpatient Facility","Annual number of Lab/Radiology Procedures",null,null,0,1,3,0,1,2]
["Emergency Room Visits","Annual number of Emergency Room Visits",null,null,0,0,1,0,0,1]
["Urgent Care Visits","Annual number of Urgent Care Vistits",null,null,0,0,0,0,0,0]
["Office Visits","Annual number of Primary Care Office Visits ",null,null,1,4,8,1,4,7]
[null,"Annual number of Specialists Office Visits ",null,null,1,4,8,1,4,7]
[null,"Annual number of Chiropractor Visits",null,null,0,0,0,0,0,0]
["Prescription Drugs","Total number of Generic Prescriptions (Retail)—Annual",null,null,3,12,23,1,4,10]
[null,"Total number of Formulary Brand-name Prescriptions (Retail)—Annual",null,null,0,3,8,0,2,4]
[null,"Total number of Non-Formulary Brand-name Prescriptions (Retail)—Annual",null,null,0,0,0,0,0,0]
[null,"Total number of Specialty Prescriptions (Retail)—Annual",null,null,0,0,0,0,0,0]
[null,"Total number of Generic Prescriptions (Mail)—Annual",null,null,0,0,0,0,0,0]
[null,"Total number of Formulary Brand-name Prescriptions (Mail)—Annual",null,null,0,0,0,0,0,0]
[null,"Total number of Non-Formulary Brand-name Prescriptions (Mail)—Annual",null,null,0,0,0,0,0,0]
[null,"Total number of Specialty Prescriptions (Mail)—Annual",null,null,0,0,0,0,0,0]
[]
[null,"Annual Contribution","Out of Pocket After HSA/HRA","Hold","OOP Offset by HSA/HRA Employer Wellness Fund",{"$f":"MAX(F189:F192)+250","v":{"$error":"#VALUE!"}},"Rest"]
[{"$f":"IF('1. Plan Inputs'!U17=0,\"\",'1. Plan Inputs'!U1)","v":""},{"$f":"Calculator!D77","v":""},{"$f":"MAX(Calculator!C77-Calculator!F77,0)","v":{"$error":"#VALUE!"}},null,{"$f":"Calculator!C77-Worksheet!C187","v":{"$error":"#VALUE!"}}]
[{"$f":"IF('1. Plan Inputs'!R17=0,\"\",'1. Plan Inputs'!R17)","v":""},{"$f":"Calculator!D76","v":""},{"$f":"MAX(Calculator!C76-Calculator!F76,0)","v":{"$error":"#VALUE!"}},null,{"$f":"Calculator!C76-Worksheet!C188","v":{"$error":"#VALUE!"}}]
[{"$f":"IF('1. Plan Inputs'!O17=0,\"\",'1. Plan Inputs'!O17)","v":""},{"$f":"Calculator!D75","v":""},{"$f":"MAX(Calculator!C75-Calculator!F75,0)","v":{"$error":"#VALUE!"}},{"$f":"$F$186-B189-C189","v":{"$error":"#VALUE!"}},{"$f":"Calculator!C75-Worksheet!C189","v":{"$error":"#VALUE!"}},{"$f":"B189+C189","v":{"$error":"#VALUE!"}},{"$f":"D189","v":{"$error":"#VALUE!"}}]
[{"$f":"IF('1. Plan Inputs'!L17=0,\"\",'1. Plan Inputs'!L17)","v":"HSA 2000"},{"$f":"Calculator!D74","v":673.14},{"$f":"MAX(Calculator!C74-Calculator!F74,0)","v":0},{"$f":"$F$186-B190-C190","v":{"$error":"#VALUE!"}},{"$f":"Calculator!C74-Worksheet!C190","v":0},{"$f":"B190+C190","v":673.14},{"$f":"D190","v":{"$error":"#VALUE!"}}]
[{"$f":"IF('1. Plan Inputs'!I17=0,\"\",'1. Plan Inputs'!I17)","v":"HSA 1350"},{"$f":"Calculator!D73","v":1531.14},{"$f":"MAX(Calculator!C73-Calculator!F73,0)","v":0},{"$f":"$F$186-B191-C191","v":{"$error":"#VALUE!"}},{"$f":"Calculator!C73-Worksheet!C191","v":0},{"$f":"B191+C191","v":1531.14},{"$error":"#VALUE!"}]
[{"$f":"'1. Plan Inputs'!F17","v":"OAP"},{"$f":"Calculator!D72","v":2165.2800000000002},{"$f":"MAX(Calculator!C72-Calculator!F72,0)","v":0},{"$f":"$F$186-B192-C192","v":{"$error":"#VALUE!"}},{"$f":"Calculator!C72-Worksheet!C192","v":0},{"$f":"B192+C192","v":2165.2800000000002},{"$error":"#VALUE!"}]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[]
[null,"Service","Benchmark","Source"]
[null,"Cost of Covered Preventive Services ",128.85750000000002,"Access Data"]
[null,"Cost for Hospitalizations per Day",4362,"InfoLock Norm"]
[null,"Cost for Outpatient Surgeries",1293.968887190953,"Access Data"]
[null,"Cost of Lab/Radiology Procedures ",260.05,"Access Data"]
[null,"Cost of Emergency Room ",1849,"InfoLock Norm"]
[null,"Cost of Urgent Care",138,"Access Data"]
[null,"Cost of Primary Care Office Visits, including lab and x-ray ",130.96183333333335,"Access Data"]
[null,"Cost of Specialists Office Visits, including lab and x-ray ",189.62,"Access Data"]
[null,"Cost of Chiropractor Visit",34.5,"Access Data"]
[null,"Cost per Generic Prescription",31,"InfoLock Norm"]
[null,"Cost per Formulary Brand-Name Prescription",292,"InfoLock Norm"]
[null,"Cost per Non-Formulary Brand-Name Prescription",292,"InfoLock Norm"]
[null,"Cost per Specialty Prescription",2733,"InfoLock Norm"]