Displaying 212021-212030 of 1611142 results.
ID:
212021
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1649990
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212022
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
1650030
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212023
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
198201
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212024
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
728109
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212025
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
312122
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212026
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
200346
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212027
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
308135
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212028
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
309054
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212029
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
826612
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
212030
Formulary ID:
00021091
Formulary Version:
13
Contract Year:
2021
RXCUI:
848140
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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