Displaying 191021-191030 of 1611142 results.
ID:
191021
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2371768
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191022
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1921468
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
191023
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
152971
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
480
Qty Limit Days:
30
ID:
191024
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2166143
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
1
Qty Limit Days:
84
ID:
191025
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196900
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
191026
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1873087
NDC:
Tier Level:
5
Qty Limit?:
0
Qty Limit Amt:
3
Qty Limit Days:
180
ID:
191027
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1541594
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191028
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835896
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191029
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
835835
NDC:
Tier Level:
2
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191030
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1115468
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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