Displaying 180821-180830 of 1611142 results.
ID:
180821
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1552004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
30
ID:
180822
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430453
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180823
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180824
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1100706
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180825
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1430449
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180826
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180827
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1592752
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180828
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243033
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180829
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243040
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
180830
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
1243026
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
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