Displaying 202311-202320 of 1611142 results.
ID:
202311
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2284106
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202312
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616287
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202313
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1541928
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202314
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
616292
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202315
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1357547
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202316
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2048568
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202317
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2478437
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202318
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2099956
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202319
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2058926
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202320
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2047602
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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