Displaying 200621-200630 of 1611142 results.
ID:
200621
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
204135
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
240
Qty Limit Days:
30
ID:
200622
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1370754
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200623
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
1370750
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200624
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861487
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
59
Qty Limit Days:
30
ID:
200625
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
966577
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
180
Qty Limit Days:
30
ID:
200626
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
203088
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
60
Qty Limit Days:
30
ID:
200627
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313227
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200628
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
857366
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
85
Qty Limit Days:
30
ID:
200629
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313226
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
200630
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
308715
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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