Displaying 180911-180920 of 1611142 results.
ID:
180911
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
476576
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180912
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
617423
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180913
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
617993
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180914
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
745302
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180915
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
314227
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
18
Qty Limit Days:
28
ID:
180916
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
142046
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180917
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
238004
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
180918
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
313921
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
120
Qty Limit Days:
30
ID:
180919
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
238003
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
ID:
180920
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
403923
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
28
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