Displaying 201911-201920 of 1611142 results.
ID:
201911
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1918230
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201912
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2054269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201913
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
432400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201914
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1940654
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201915
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1099269
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201916
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1006065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201917
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1020155
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201918
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1369737
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201919
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1369770
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201920
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
808917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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