Displaying 220711-220720 of 1611142 results.
ID:
220711
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
798133
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220712
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
884520
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220713
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
755470
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220714
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
544452
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220715
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
597768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220716
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
597770
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220717
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
597772
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220718
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
403975
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220719
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
259306
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
220720
Formulary ID:
00021096
Formulary Version:
14
Contract Year:
2021
RXCUI:
1799654
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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