Displaying 202111-202120 of 1611142 results.
ID:
202111
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202112
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
828757
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202113
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
828541
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202114
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202115
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202116
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202117
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
836636
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202118
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
836634
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202119
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1597099
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202120
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1597103
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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