Displaying 140711-140720 of 1611142 results.
ID:
140711
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1991317
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
28
ID:
140712
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200654
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140713
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200658
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140714
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
2200650
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
31
Qty Limit Days:
31
ID:
140715
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1653204
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140716
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847241
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140717
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
153095
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140718
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351926
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140719
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
849851
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140720
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
847247
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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