Displaying 120311-120320 of 1611142 results.
ID:
120311
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
753482
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120312
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
750268
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120313
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
761977
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120314
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
750265
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120315
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
762001
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120316
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
762334
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120317
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
753483
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120318
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
750267
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120319
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
801185
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120320
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
898362
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
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