Displaying 120321-120330 of 1611142 results.
ID:
120321
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
312529
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120322
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
977880
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120323
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
2047882
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120324
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310190
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120325
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310191
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120326
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
261178
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
120327
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313941
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120328
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
198300
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120329
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
106303
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120330
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
313450
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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