Displaying 190201-190210 of 1611142 results.
ID:
190201
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1922783
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190202
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
485442
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190203
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190204
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190205
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190206
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190207
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190208
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190209
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190210
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
1729029
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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