Displaying 140421-140430 of 1611142 results.
ID:
140421
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1012899
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140422
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1119402
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140423
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310138
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140424
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310144
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
140425
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1310147
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
140426
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364114
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140427
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364118
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140428
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1364122
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140429
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653243
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
ID:
140430
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1599797
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
28
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