Displaying 202401-202410 of 1611142 results.
ID:
202401
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1603369
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202402
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1656346
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202403
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1425110
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202404
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1425118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202405
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
867506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202406
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1425230
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202407
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1425228
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202408
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1245003
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202409
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
825425
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202410
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
825429
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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