Displaying 202901-202910 of 1611142 results.
ID:
202901
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1855389
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202902
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
199689
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202903
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
603208
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202904
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
603203
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202905
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
603206
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202906
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
748961
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202907
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
749761
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202908
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310404
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202909
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310405
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202910
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
103467
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
202901202902202903202904202905202906202907202908202909202910