Displaying 180921-180930 of 1611142 results.
ID:
180921
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
241946
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
8
Qty Limit Days:
28
ID:
180922
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
388525
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
400
Qty Limit Days:
30
ID:
180923
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
360507
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
180924
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
198322
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180925
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
308962
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180926
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
849395
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
180927
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
892494
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
180928
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
892596
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
180929
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
892345
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
180930
Formulary ID:
00021079
Formulary Version:
13
Contract Year:
2021
RXCUI:
894801
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
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