Displaying 199901-199910 of 1611142 results.
ID:
199901
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
995258
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199902
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1297753
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199903
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1297757
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199904
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310992
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199905
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049621
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199906
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2101899
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199907
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049683
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199908
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049686
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
199909
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1091150
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
199910
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
899557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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