Displaying 200901-200910 of 1611142 results.
ID:
200901
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1653225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
200902
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2182340
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
200903
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2392142
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
200904
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1310531
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200905
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1310535
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200906
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110618
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200907
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1114074
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200908
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1114096
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200909
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
903841
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200910
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1114470
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
200901200902200903200904200905200906200907200908200909200910