Displaying 140211-140220 of 1611142 results.
ID:
140211
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1437969
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140212
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
897657
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
1550
Qty Limit Days:
31
ID:
140213
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977860
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140214
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1049604
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
4133
Qty Limit Days:
31
ID:
140215
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874559
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140216
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1874553
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140217
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
900575
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140218
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977427
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140219
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977434
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140220
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
977438
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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