Displaying 201511-201520 of 1611142 results.
ID:
201511
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
485465
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201512
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1989085
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201513
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
582595
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201514
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861966
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201515
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1442143
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201516
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1729053
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201517
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1729057
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201518
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1729061
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201519
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1729065
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201520
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1729013
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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