Displaying 141221-141230 of 1611142 results.
ID:
141221
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
541892
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141222
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
577961
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
93
Qty Limit Days:
31
ID:
141223
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
541363
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
62
Qty Limit Days:
31
ID:
141224
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404059
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141225
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404062
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141226
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
643488
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141227
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
404065
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141228
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751868
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141229
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751871
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
141230
Formulary ID:
00021058
Formulary Version:
15
Contract Year:
2021
RXCUI:
751870
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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