Displaying 180811-180820 of 1611142 results.
ID:
180811
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197366
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180812
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197363
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180813
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197364
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180814
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197383
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180815
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
197382
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180816
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
805515
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180817
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
603378
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180818
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1190225
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
30
ID:
180819
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
580261
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
90
ID:
180820
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
836368
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
25
Qty Limit Days:
30
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