Displaying 201701-201710 of 1611142 results.
ID:
201701
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1738495
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201702
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1738503
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201703
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099596
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201704
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197412
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201705
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312828
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
201706
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312829
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
201707
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312830
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
201708
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312831
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
201709
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312832
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
201710
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
314211
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
201701201702201703201704201705201706201707201708201709201710