Displaying 211121-211130 of 1611142 results.
ID:
211121
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
799055
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211122
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
799056
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211123
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
799054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211124
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
206913
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211125
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
206917
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211126
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1657151
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
211127
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
900156
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211128
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848582
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211129
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
824959
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
211130
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
749206
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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