Displaying 202701-202710 of 1611142 results.
ID:
202701
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
801965
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202702
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
830876
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202703
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
991233
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202704
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308047
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202705
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
308048
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202706
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197321
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202707
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202708
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198057
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202709
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
312134
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202710
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198059
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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