Displaying 220201-220210 of 1611142 results.
ID:
220201
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
312071
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220202
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
859867
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220203
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
198159
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220204
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191256
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220205
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
311678
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220206
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1085728
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220207
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1191315
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220208
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
628953
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220209
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
381056
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220210
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
206842
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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