Displaying 201931-201940 of 1611142 results.
ID:
201931
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197557
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201932
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
903843
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201933
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1661799
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201934
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
307732
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201935
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2049884
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201936
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1493276
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201937
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2055286
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201938
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2464843
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
16
Qty Limit Days:
30
ID:
201939
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2265701
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
201940
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
2283505
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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