Displaying 191111-191120 of 1611142 results.
ID:
191111
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
665022
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
191112
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
746804
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
191113
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
746815
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
191114
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
746813
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
191115
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
790284
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
2
Qty Limit Days:
30
ID:
191116
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196792
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
26
Qty Limit Days:
30
ID:
191117
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
2196592
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
13
Qty Limit Days:
30
ID:
191118
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536144
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
26
Qty Limit Days:
30
ID:
191119
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1536148
NDC:
Tier Level:
3
Qty Limit?:
0
Qty Limit Amt:
26
Qty Limit Days:
30
ID:
191120
Formulary ID:
00021082
Formulary Version:
14
Contract Year:
2021
RXCUI:
1720881
NDC:
Tier Level:
5
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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