Displaying 200301-200310 of 1611142 results.
ID:
200301
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
239189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200302
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
863538
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200303
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191299
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200304
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
240209
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200305
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
318202
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200306
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
238600
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200307
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085736
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200308
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310465
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200309
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085640
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200310
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085633
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
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