Displaying 212011-212020 of 1611142 results.
ID:
212011
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
314203
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212012
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312749
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212013
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199353
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212014
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199351
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212015
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199352
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212016
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198189
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212017
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
261962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212018
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
199147
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212019
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
349491
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212020
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
853201
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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