Displaying 120621-120630 of 1611142 results.
ID:
120621
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855182
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120622
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
855189
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120623
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
602964
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120624
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
402131
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120625
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349545
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120626
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349490
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120627
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120628
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
349547
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
120629
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
856373
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120630
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
310288
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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