Displaying 150621-150630 of 1611142 results.
ID:
150621
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150622
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876673
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150623
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1876674
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150624
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1812434
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150625
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
866111
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150626
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198252
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150627
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373489
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150628
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373493
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150629
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1373498
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150630
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
1040058
NDC:
Tier Level:
4
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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