Displaying 200311-200320 of 1611142 results.
ID:
200311
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085636
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
200312
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197735
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200313
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
543546
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200314
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085644
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
200315
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1014314
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
160
Qty Limit Days:
30
ID:
200316
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1085686
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200317
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1368018
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200318
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
238151
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200319
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1368034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200320
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1797895
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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