Displaying 201801-201810 of 1611142 results.
ID:
201801
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830795
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201802
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
831359
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201803
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
801957
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201804
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
801961
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201805
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
801966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201806
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830877
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201807
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830879
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201808
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830882
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201809
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
830897
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201810
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198363
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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