Displaying 201421-201430 of 1611142 results.
ID:
201421
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309078
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201422
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
198352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201423
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
200031
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201424
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
200033
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201425
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
315223
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
201426
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313161
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
201427
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313160
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
9
Qty Limit Days:
30
ID:
201428
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
854873
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
201429
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
ID:
201430
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
1
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