Displaying 150721-150730 of 1611142 results.
ID:
150721
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310796
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
150722
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310797
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150723
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310809
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150724
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
198052
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150725
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
312086
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150726
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310384
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150727
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
310385
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150728
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
313989
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
150729
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
979485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
150730
Formulary ID:
00021061
Formulary Version:
15
Contract Year:
2021
RXCUI:
979492
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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