Displaying 200331-200340 of 1611142 results.
ID:
200331
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200332
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309290
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200333
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197362
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200334
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
895990
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
200335
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
106336
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200336
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1191307
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200337
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
543460
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200338
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197574
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200339
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197575
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200340
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309333
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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