Plan details: Rx:720000000349 (5)

Plan details for St Louis County:Blue Performance PPO w/ Rx:720000000349 (ID: 416005890)
Appears in: 2026-082026-072026-062026-052026-01
Date
Schema
Filename
# of Parts
# of Parts Available
Total source size
2026-08-01ALLOWED_AMOUNT2026-07-16_000000349_allowed-amount11221 Bytes
2026-07-01ALLOWED_AMOUNT2026-06-16_000000349_allowed-amount11220 Bytes
2026-06-01ALLOWED_AMOUNT2026-05-16_000000349_allowed-amount11221 Bytes
2026-05-01ALLOWED_AMOUNT2026-04-16_000000349_allowed-amount11221 Bytes
2026-01-01ALLOWED_AMOUNT2025-12-17_000000349_allowed-amount11220 Bytes
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