Displaying 2011-2020 of 1611142 results.
ID:
2011
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
998685
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2012
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099686
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
2013
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099691
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
2014
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
2099697
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
2015
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
1313785
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2016
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
207588
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2017
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
213510
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2018
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
310386
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2019
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
199148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
2020
Formulary ID:
00021000
Formulary Version:
14
Contract Year:
2021
RXCUI:
311787
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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