Displaying 140821-140830 of 1611142 results.
ID:
140821
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1428933
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140822
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1091828
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140823
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351173
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140824
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351174
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140825
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
351175
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140826
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
801417
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140827
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
204520
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140828
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1601982
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140829
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
1795252
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
140830
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
244098
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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