Displaying 202601-202610 of 1611142 results.
ID:
202601
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
834137
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202602
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
810002
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202603
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
809990
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202604
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
809994
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202605
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
809998
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202606
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
995156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202607
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308963
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202608
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
317173
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202609
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308964
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202610
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197604
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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