Displaying 150311-150320 of 1611142 results.
ID:
150311
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993687
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150312
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
993691
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150313
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
903887
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150314
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
903891
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150315
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
903884
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150316
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
242446
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150317
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
213291
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150318
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111339
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150319
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
860805
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150320
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1111343
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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