Displaying 202211-202220 of 1611142 results.
ID:
202211
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
860901
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202212
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351265
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202213
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351266
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202214
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
351267
NDC:
Tier Level:
6
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202215
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905172
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202216
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
905168
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202217
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
892589
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202218
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
894780
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202219
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
997170
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202220
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
997287
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
202211202212202213202214202215202216202217202218202219202220