Displaying 210201-210210 of 1611142 results.
ID:
210201
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210202
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210203
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210204
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210205
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210206
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210207
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210208
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
210209
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
730866
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210210
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
730861
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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