Displaying 202501-202510 of 1611142 results.
ID:
202501
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1090996
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202502
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197595
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202503
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197596
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202504
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309958
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202505
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
309960
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202506
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
884707
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202507
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
753543
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202508
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
2110455
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202509
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
800915
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202510
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
904870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
202501202502202503202504202505202506202507202508202509202510