Displaying 190311-190320 of 1611142 results.
ID:
190311
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313570
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
40
Qty Limit Days:
10
ID:
190312
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
313571
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
80
Qty Limit Days:
10
ID:
190313
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309049
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190314
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309048
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190315
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
105171
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190316
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
995599
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190317
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
995607
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190318
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
307650
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190319
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
616402
NDC:
Tier Level:
2
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
30
ID:
190320
Formulary ID:
00021081
Formulary Version:
13
Contract Year:
2021
RXCUI:
309097
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
190311190312190313190314190315190316190317190318190319190320