Displaying 230601-230610 of 1611142 results.
ID:
230601
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1043753
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230602
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
284496
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230603
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
197848
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230604
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855926
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230605
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855906
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230606
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
855664
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230607
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
995281
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230608
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1095227
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230609
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1661092
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
230610
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
309079
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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