Displaying 202001-202010 of 1611142 results.
ID:
202001
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659183
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202002
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659161
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202003
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2467571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
202004
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2467575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
202005
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265689
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
1
ID:
202006
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2472789
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202007
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2478450
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202008
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2369403
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202009
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1594673
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202010
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2475406
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
1
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