Displaying 190821-190830 of 1611142 results.
ID:
190821
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
861771
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190822
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1729311
NDC:
Tier Level:
4
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190823
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2055766
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
190824
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988671
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190825
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1988675
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190826
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1924315
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
190827
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1486841
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
190828
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
798300
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190829
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
830253
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
190830
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
830245
NDC:
Tier Level:
3
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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