Displaying 140611-140620 of 1611142 results.
ID:
140611
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310536
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140612
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310539
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140613
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299903
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140614
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2000695
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140615
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1299909
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140616
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197507
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140617
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359493
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
12
Qty Limit Days:
28
ID:
140618
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
359494
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
6
Qty Limit Days:
28
ID:
140619
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
197737
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140620
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
310534
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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