Displaying 202911-202920 of 1611142 results.
ID:
202911
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
284191
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202912
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
1000091
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
202913
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
359697
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202914
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
310169
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202915
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
209789
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202916
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
209788
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202917
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
861657
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202918
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
486148
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202919
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
486152
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
202920
Formulary ID:
00021086
Formulary Version:
18
Contract Year:
2021
RXCUI:
486146
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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