Displaying 200611-200620 of 1611142 results.
ID:
200611
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
904158
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200612
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861495
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200613
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861448
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200614
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309370
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
200615
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
315059
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200616
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
103457
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200617
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
197407
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200618
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
310364
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200619
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
238920
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
150
Qty Limit Days:
30
ID:
200620
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
349351
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
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