Displaying 202811-202820 of 1611142 results.
ID:
202811
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856769
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202812
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
314034
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202813
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198284
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202814
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197316
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202815
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310671
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202816
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856792
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202817
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
198297
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202818
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
197506
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202819
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856706
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202820
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
856429
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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