Displaying 201411-201420 of 1611142 results.
ID:
201411
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
283407
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201412
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
283485
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
30
Qty Limit Days:
30
ID:
201413
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
756209
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201414
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
311943
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201415
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313850
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
ID:
201416
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
313222
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
90
Qty Limit Days:
365
ID:
201417
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861743
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
201418
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861748
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
201419
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
861753
NDC:
Tier Level:
1
Qty Limit?:
0
Qty Limit Amt:
4
Qty Limit Days:
1
ID:
201420
Formulary ID:
00021084
Formulary Version:
18
Contract Year:
2021
RXCUI:
309076
NDC:
Tier Level:
1
Qty Limit?:
1
Qty Limit Amt:
0
Qty Limit Days:
0
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