Displaying 210301-210310 of 1611142 results.
ID:
210301
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198223
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210302
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
485020
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210303
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
856364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210304
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863636
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210305
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863619
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210306
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
863628
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210307
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314080
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210308
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190655
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210309
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
545236
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
210310
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1724340
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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