Displaying 202101-202110 of 1611142 results.
ID:
202101
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1235595
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202102
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1235591
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202103
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
668606
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202104
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861821
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202105
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
202106
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202107
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202108
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202109
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202110
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
202101202102202103202104202105202106202107202108202109202110