Displaying 140621-140630 of 1611142 results.
ID:
140621
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362706
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140622
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362712
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140623
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1362720
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140624
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
308865
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
28
ID:
140625
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749804
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140626
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
749802
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140627
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
828379
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140628
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856448
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140629
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856457
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140630
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
856519
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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