[[[["field26","equal_to","Yes"]],[["show_fields","field9,field11,field14,field15"]],"and"],[[["field4","contains","Accu- Chek Aviva Plus -100ct. Retail"]],[["show_fields","field29","$75",null,"field29"],["set_value",null,"75",null,"field29"]],"and"],[[["field4","contains","Accu- Chek Aviva Plus -50ct. Retail"]],[["show_fields","field29"],["set_value",null,"30",null,"field29"]],"and"],[[["field4","contains","Accu- Chek Aviva Plus -50ct. Mail report Retail"]],[["show_fields","field29"],["set_value",null,"25",null,"field29"]],"and"],[[["field4","contains","Accu-Check Smartview - 100 ct Retial"]],[["show_fields","field29"],["set_value",null,"60",null,"field29"]],"and"],[[["field4","contains","Accu-Check Smartview - 50 ct. Retial"]],[["show_fields","field29"],["set_value",null,"30",null,"field29"]],"and"],[[["field4","contains","Contour - 7090 - 100 ct. Retail"]],[["show_fields","field29"],["set_value",null,"45",null,"field29"]],"and"],[[["field4","contains","Contour - 7080G - 50 ct. Retail"]],[["show_fields","field29"],["set_value",null,"50",null,"field29"]],"and"],[[["field4","contains","Freestyle - 100 ct. Retail"]],[["show_fields","field29"],["set_value",null,"25",null,"field29"]],"and"],[[["field4","contains","Freestyle - 50 ct. Retail"]],[["show_fields","field29"],["set_value",null,"16",null,"field29"]],"and"],[[["field4","contains","Freestyle Lite - 100ct. Retail"]],[["show_fields","field29"],["set_value",null,"65",null,"field29"]],"and"],[[["field4","contains","Freestyle Lite - 50 ct. Retail"]],[["show_fields","field29"],["set_value",null,"32",null,"field29"]],"and"],[[["field4","contains","One - Touch Ultra -100ct. Retail"]],[["show_fields","field29"],["set_value",null,"70",null,"field29"]],"and"],[[["field4","contains","One - Touch Ultra - 50ct. Retail"]],[["show_fields","field29"],["set_value",null,"45",null,"field29"]],"and"],[[["field4","contains","One - Touch Ultra - 25 ct. Retail"]],[["show_fields","field29"],["set_value",null,"15",null,"field29"]],"and"],[[["field4","contains","One - Touch Ultra - 50ct. Mail Order"]],[["show_fields","field29"],["set_value",null,"7",null,"field29"]],"and"],[[["field4","contains","One - Touch Verio - 100 ct. Retail"]],[["show_fields","field29"],["set_value",null,"50",null,"field29"]],"and"],[[["field4","contains","One - Touch Verio - 50 ct. Retail"]],[["show_fields","field29"],["set_value",null,"30",null,"field29"]],"and"],[[["field4","contains","One - Touch Verio - 50 ct. Mail Order"]],[["show_fields","field29"],["set_value",null,"15",null,"field29"]],"and"],[[["field4","contains","Ture Metrix - 100ct - US Retail"]],[["show_fields","field29"],["set_value",null,"25",null,"field29"]],"and"],[[["field4","contains","Medtronic Reservoir ( White Box)"]],[["show_fields","field29"],["set_value",null,"12",null,"field29"]],"and"],[[["field4","contains","BD Pen Needles (4mm)"]],[["show_fields","field29"],["set_value",null,"7",null,"field29"]],"and"],[[["field4","contains","Medtronic Quickset Paradigm"]],[["show_fields","field29"],["set_value",null,"40",null,"field29"]],"and"],[[["field4","contains","Medtronic Mio"]],[["show_fields","field29"],["set_value",null,"50",null,"field29"]],"and"],[[["field4","contains","Medtronic MiniMed Silhouette"]],[["show_fields","field29"],["set_value",null,"40",null,"field29"]],"and"],[[["field4","contains","Medtronic Sure - T"]],[["show_fields","field29"],["set_value",null,"30",null,"field29"]],"and"],[[["field4","contains","Omnipod ( 10Pack)"]],[["show_fields","field29"],["set_value",null,"140",null,"field29"]],"and"],[[["field4","contains","Omnipod ( 5Pack)"]],[["show_fields","field29"],["set_value",null,"60",null,"field29"]],"and"],[[["field4","contains","Omnipod Dash ( 10pack)"]],[["show_fields","field29"],["set_value",null,"150",null,"field29"]],"and"],[[["field4","contains","Omnipod Dash ( 5pack)"]],[["show_fields","field29"],["set_value",null,"60",null,"field29"]],"and"],[[["field4","contains","Omnipod PDM (UST-400)"]],[["show_fields","field29"],["set_value",null,"200",null,"field29"]],"and"],[[["field4","contains","Omnipod Dash PDM ( Blue and Beige Box)"]],[["show_fields","field29"],["set_value",null,"130",null,"field29"]],"and"],[[["field4","contains","Dexcom G6 Transmitter"]],[["show_fields","field29"],["set_value",null,"170",null,"field29"]],"and"],[[["field4","contains","Dexcom G6 Sensor ( 3pack)"]],[["show_fields","field29"],["set_value",null,"220",null,"field29"]],"and"],[[["field4","contains","Nicorette Gum (ANY SIZE\/FLAVOR)"]],[["show_fields","field29"],["set_value",null,"25",null,"field29"]],"and"],[[["field4","contains","Nicoderm CQ (ANY STEP)"]],[["show_fields","field29"],["set_value",null,"25",null,"field29"]],"and"],[[["field8","contains","Before Jan 2022"]],[["set_value",null,"10",null,"field33"],["show_fields","field33"]],"and"],[[["field8","contains","In Jan 2022 - 6\/MO"]],[["set_value",null,"10",null,"field33"],["show_fields","field33"]],"and"],[[["field8","contains","In Feb 2022 - 7\/MO"]],[["set_value",null,"5",null,"field33"],["show_fields","field33"]],"and"],[[["field4","contains",""],["field5","contains",""],["field7","contains",""],["field8","contains",""]],[["show_fields","field41,field32"]],"and"],[[["field4","contains","Dexcom G6 Receiver"]],[["show_fields","field29"],["set_value",null,"120",null,"field29"]],"and"],[[["field4","contains","FreeStyle - 50ct | MAIL ORDER"]],[["show_fields","field29"],["set_value",null,"5",null,"field29"]],"and"],[[["field4","contains","FreeStyle InsuLinx - 100ct | US RETAIL"]],[["show_fields","field29"],["set_value",null,"30",null,"field29"]],"and"],[[["field4","contains","FreeStyle InsuLinx - 50ct | US RETAIL"]],[["show_fields","field29"],["set_value",null,"20",null,"field29"]],"and"],[[["field4","contains","FreeStyle InsuLinx - 50ct | MAIL ORDER"]],[["show_fields","field29"],["set_value",null,"20",null,"field29"]],"and"],[[["field4","contains","TRUEMetrix - 50ct | US RETAIL"]],[["show_fields","field29"],["set_value",null,"15",null,"field29"]],"and"],[[["field4","contains","TRUEMetrix - 50ct | MAIL ORDER"]],[["show_fields","field29"],["set_value",null,"2",null,"field29"]],"and"],[[["field4","contains","Guardian (7020A) Sensor"]],[["show_fields","field29"],["set_value",null,"60",null,"field29"]],"and"],[[["field4","contains","Medtronic Pump 670G\/770G"]],[["show_fields","field29"],["set_value",null,"400",null,"field29"]],"and"],[[["field4","contains","Quicksets MMT 394, 396, 397,398, 399"]],[["show_fields","field29"],["set_value",null,"35",null,"field29"]],"and"],[[["field4","contains","Silhouette MMT 378, 381, 382"]],[["show_fields","field29"],["set_value",null,"40",null,"field29"]],"and"],[[["field4","contains","Sure-T MMT 864, 866"]],[["show_fields","field29"],["set_value",null,"35",null,"field29"]],"and"],[[["field4","contains","Novolin R (10 ML-Nordisk) Vial"]],[["show_fields","field29"],["set_value",null,"35",null,"field29"]],"and"],[[["field4","contains","Novolin N (10ML- Nordisk) Vial"]],[["show_fields","field29"],["set_value",null,"35",null,"field29"]],"and"],[[["field4","contains","Novolin 70\/30 (10ml Nordisk) Vial"]],[["show_fields","field29"],["set_value",null,"35",null,"field29"]],"and"],[[["field4","equal_to","Accu-Check Aviva Plus 50ct 3"]],[["set_value",null,"Accu-Check",null,"field4"]],"and"]]