Displaying 201621-201630 of 1611142 results.
ID:
201621
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201622
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201623
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201624
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201625
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201626
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201627
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
616402
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
201628
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201629
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309098
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201630
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
312940
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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