Displaying 120921-120930 of 1611142 results.
ID:
120921
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1650143
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120922
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298910
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120923
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298816
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120924
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1298906
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120925
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
858747
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
120926
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1542997
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120927
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
1432969
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120928
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
904880
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
120929
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
891881
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
120930
Formulary ID:
00021049
Formulary Version:
16
Contract Year:
2021
RXCUI:
891888
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
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