Displaying 202201-202210 of 1611142 results.
ID:
202201
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000497
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202202
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000499
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202203
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000500
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202204
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000487
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202205
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1653579
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202206
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198148
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202207
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797833
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202208
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797844
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202209
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
393245
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202210
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
885857
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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