Displaying 201211-201220 of 1611142 results.
ID:
201211
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
311982
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201212
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
104884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201213
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861430
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201214
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197939
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201215
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201216
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
886662
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201217
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
886666
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201218
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
886671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201219
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
686400
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201220
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1190572
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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