Displaying 231111-231120 of 1611142 results.
ID:
231111
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
729201
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231112
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
729203
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231113
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1796079
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231114
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1796083
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231115
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1433879
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231116
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1546894
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231117
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1857913
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231118
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1857917
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231119
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1857925
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
231120
Formulary ID:
00021099
Formulary Version:
10
Contract Year:
2021
RXCUI:
1989506
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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