Displaying 202411-202420 of 1611142 results.
ID:
202411
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884619
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202412
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2121061
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202413
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1656356
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202414
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1859501
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202415
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1919094
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202416
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2169314
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202417
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2169322
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202418
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2362240
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202419
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2169320
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202420
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2362244
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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