Displaying 200911-200920 of 1611142 results.
ID:
200911
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049504
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200912
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049545
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200913
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049565
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200914
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049576
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200915
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049586
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200916
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049595
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200917
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1049601
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
1
ID:
200918
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659818
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200919
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1659814
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200920
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1658325
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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