Displaying 201331-201340 of 1611142 results.
ID:
201331
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
902626
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201332
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
617768
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201333
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790892
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201334
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790886
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201335
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1790890
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201336
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2384465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
5
Qty Limit Days:
28
ID:
201337
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1670324
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201338
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1670322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201339
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600774
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201340
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1600776
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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