Displaying 131221-131230 of 1611142 results.
ID:
131221
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
860221
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131222
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198056
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131223
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
351276
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
131224
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349194
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131225
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349195
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131226
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
349198
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
131227
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
403825
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131228
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
312439
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131229
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
198103
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
131230
Formulary ID:
00021054
Formulary Version:
15
Contract Year:
2021
RXCUI:
250820
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
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