Displaying 202301-202310 of 1611142 results.
ID:
202301
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2099952
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202302
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2105860
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202303
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
637188
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202304
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
795735
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
56
Qty Limit Days:
28
ID:
202305
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
637190
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
202306
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
795737
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
53
Qty Limit Days:
28
ID:
202307
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2284104
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202308
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1741049
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202309
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2273115
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202310
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616283
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
202301202302202303202304202305202306202307202308202309202310