Displaying 140321-140330 of 1611142 results.
ID:
140321
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047614
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140322
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047596
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140323
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2047623
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140324
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463737
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140325
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102464
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140326
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2463733
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140327
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102470
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140328
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2105856
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140329
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2102472
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140330
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2168548
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
124
Qty Limit Days:
31
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