Displaying 201611-201620 of 1611142 results.
ID:
201611
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
311288
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201612
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
311289
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201613
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
387003
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201614
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
807832
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201615
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
846378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201616
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309112
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201617
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309114
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201618
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310274
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201619
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
201620
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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